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Louisiana rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$505.50 / $505.50 / $505.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.77 / $562.22 / $667.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,987.44 / $6,055.77 / $8,973.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.99 / $618.66 / $750.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.92 / $655.95 / $977.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,820.00 / $9,132.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.38 / $626.22 / $1,032.80