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Maine rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.38 / $400.38 / $400.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.38 / $420.77 / $889.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.54 / $711.01 / $1,062.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.63 / $806.70 / $1,195.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.80 / $805.99 / $1,236.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.38 / $445.02 / $1,041.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.23 / $774.96 / $1,090.48