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Pennsylvania rates for HCPCS 19307

Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.17 / $4,894.00 / $10,247.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,551.78 / $7,551.78 / $8,081.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.16 / $17,859.09 / $39,361.43
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,821.37 / $5,821.37 / $7,524.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,470.00 / $10,247.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,551.78 / $7,551.78 / $8,081.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.44 / $1,154.44 / $1,196.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00