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Indiana rates for HCPCS 19328

Removal Intact Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.47 / $4,045.88 / $8,363.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.77 / $460.73 / $889.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.84 / $487.30 / $672.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.99 / $754.08 / $1,131.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.86 / $653.54 / $904.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.25 / $2,061.25 / $2,061.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.77 / $593.00 / $1,119.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.88 / $557.22 / $854.06