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CPT 19307 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or Without Pectoralis Minor Muscle, But Excluding Pectoralis Major Muscle
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 19307

National average reimbursement for CPT 19307 by major payers:

bcbs

$1,567.49

uhc

$1,528.91

aetna

$1,589.54

cigna

$1,947.08

Preview provider-level rates for...
For billing codeCPT 19307
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 19307

United
19307$3100.001285282343 - DEERBROOK SURGERY CENTER LLC, KINGWOOD ENDOSCOPY813375333 - (TX) DEERBROOK SURGERY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$2718.001568864452 - CARPUS SURGERY CENTER LLC471128977 - (GA) CARPUS SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$1308.001295798346 - SUNRISE FLAMINGO SURGERY CENTER, LLC, FLAMINGO SURGERY CENTER621679326 - (NV) SUNRISE FLAMINGO SURGERY CENTER LLCNVAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$627.001124092945 - ROCKLEDGE FL ENDOSCOPY ASC LLC, SPACE COAST ENDOSCOPY CENTER200073131 - (FL) ROCKLEDGE FL ENDOSCOPY ASC LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$816.001780658062 - GLEN ENDOSCOPY CENTER, LLC364486546 - (IL) THE GLEN ENDOSCOPY CENTER, LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$947.781225394398 - INGER REYNOLDS350593390 - DEACONESS HOSPITAL INCTNCertified Registered Nurse Anesthetist (367500000X)
United
19307$899.001043216617 - TRIAD SURGERY CENTER LLC, TRIAD EYE MEDICAL CLINIC AND CATARACT INSTITUTE PLLC465002052 - (OK) TRIAD EYE INSTITUTE, PLLCOKAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$2000.001588994685 - SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC271651377GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$5589.001497749436 - NEW JERSEY SURGERY CENTER LLC, NEW JERSEY SURGERY CENTER161666417 - (NJ) NEW JERSEY SURGERY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$7770.001396175246 - MEMORIAL HERMANN BAY AREA ENDOSCOPY CENTER, LLC, BAY AREA ENDOSCOPY364773048TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$947.781518561687 - KARI CLARIDGE350593390 - DEACONESS HOSPITAL INCINMedical Physician Assistant (363AM0700X)
United
19307$2530.001124283510 - WILLS EYE SURGERY CENTER510385184 - (DE) WILMINGTON AMBULATORY SURGICAL CENTER LLCDEAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$947.781164469722 - TERRY HOFF350593390 - DEACONESS HOSPITAL INCINCertified Registered Nurse Anesthetist (367500000X)
United
19307$1700.001407227358 - BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC, BAPTIST HEALTH SURGERY CENTER AT NORTHPOINT650592518FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
19307$8387.001982871935 - NORTHERN VIRGINIA SURGERY CENTER LLC203502477 - (VA) NORTHERN VIRGINIA SURGERY CENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 19307 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 19307 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 19307 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
19301-CPTModerateMastectomy, Partial (E.G. Lumpectomy, Tylectomy, Quandrantectomy, Segmentectomy)
19302-CPTHighWith Axillary Lymphadenectomy
19303-CPTHighMastectomy Simple Complete
19307-CPTHighMastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or Without Pectoralis Minor Muscle, But Excluding Pectoralis Major Muscle

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19307. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 19307 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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