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Utah 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
$3,162.28 / $7,244.36 / $13,803.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $10,715.19 / $25,118.86
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,803.84 / $16,218.10 / $38,018.94
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,905.46 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84