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Modified Radical Mastectomy

Utah rates for HCPCS 19307

Removes the whole breast together with the lymph nodes in the armpit, through an incision across the chest. The large chest muscle underneath is left in place, though a smaller muscle beneath it may be removed to reach the nodes. It is used for breast cancer that has spread to, or is likely to have spread to, the armpit nodes.

Facilitymedian $7,413 · 10th–90th $3,162$16,2180%10%10th90th$7,413Professionalmedian $1,820 · 10th–90th $977$3,1620%20%10th90th$1,820$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$7,244.36
Typical High
$13,803.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$12,882.50
Typical High
$19,498.45
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,125.38
Median
$19,054.61
Typical High
$29,512.09
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,819.70
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84