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Maryland rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,630.78 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,513.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,023.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $691.83 / $831.76