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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
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $562.34 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $758.58 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $1,230.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,096.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $691.83 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,258.93