go back

Pennsylvania rates for HCPCS 19499

Unlisted Procedure Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.00 / $2,426.23 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $643.55 / $1,171.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $64,999.35 / $64,999.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $55,249.45 / $55,249.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,167.83 / $12,595.97 / $16,478.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.50 / $171.50 / $245.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,236.40 / $7,175.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $700.00 / $2,843.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00