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Pennsylvania rates for HCPCS 19325

Breast Augmentation With Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.97 / $3,645.11 / $9,328.79
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,300.00 / $8,059.60 / $15,847.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $36,032.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.11 / $19,437.09 / $26,072.52
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,373.07 / $20,632.59 / $32,271.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.76 / $5,196.00 / $9,534.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,194.00 / $7,197.00 / $13,464.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.09 / $600.09 / $605.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00