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Indiana rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $4,073.80 / $26,915.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $14,125.38 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $776.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $549.54 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $851.14