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Extended Radical Mastectomy

Maine rates for HCPCS 19306

Removal of the entire breast together with the chest muscles beneath it and the lymph nodes in the armpit and behind the breastbone. It is the most extensive form of breast removal and is now performed only in uncommon situations where cancer has spread into those structures. Recovery is longer than for a standard mastectomy, and reconstruction is often discussed at the same time.

Facilitymedian $25,119 · 10th–90th $23,442$33,1130%20%40%10th90th$25,119Professionalmedian $1,445 · 10th–90th $955$2,4550%10%10th90th$1,445$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,691.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$25,118.86
Typical High
$33,113.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,737.80
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$2,691.53
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$2,398.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,737.80
Typical High
$2,754.23