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Virginia 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
$1,197.24 / $5,048.22 / $11,425.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$17,260.16 / $17,260.16 / $17,260.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.75 / $1,336.50 / $1,648.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.24 / $1,564.03 / $2,204.65
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,674.15 / $2,571.73 / $3,554.34
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$223.22 / $342.90 / $473.91
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$156.25 / $240.03 / $331.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.29 / $1,527.95 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00