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Michigan rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $4,897.79 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.85 / $13,489.63 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $891.25 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,047.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $2,041.74 / $6,918.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.85 / $13,489.63 / $13,489.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,096.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,456.54 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $831.76