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Pennsylvania rates for HCPCS 19316

Mastopexy

Facilitymedian $5,754 · 10th–90th $1,023–$13,4900%5%10%10th90th$5,754$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $5,370.32 / $9,772.37
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,677.35 / $6,918.31 / $20,892.96
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,760.83 / $19,498.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,585.78 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,488.17 / $21,877.62
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $14,454.40 / $16,218.10
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,495.41 / $9,549.93
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,981.07 / $8,511.38
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $30,902.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,011.87 / $21,379.62