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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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$15,776.00 / $15,776.00 / $15,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.50 / $772.18 / $836.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.91 / $863.72 / $1,041.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.77 / $871.45 / $958.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.99 / $956.66 / $1,093.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $771.85 / $971.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,871.35 / $8,752.65 / $11,549.09
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,189.03 / $13,128.98 / $18,010.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.72 / $854.72 / $1,030.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.62 / $710.00 / $1,024.53