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Arizona rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.90 / $2,508.00 / $5,506.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$541.00 / $712.50 / $1,778.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.50 / $515.53 / $1,918.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.63 / $460.84 / $576.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,833.49 / $2,833.49 / $2,833.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.39 / $613.12 / $1,076.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.60 / $643.20 / $6,117.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.38 / $562.76 / $4,092.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.87 / $533.91 / $1,041.54