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Idaho rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,235.94 / $5,754.40 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,047.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $891.25 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,511.38 / $12,022.64
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,232.93 / $13,182.57 / $18,197.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,047.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $812.83 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $912.01