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Minnesota rates for HCPCS 19328

Removal Intact Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.34 / $531.34 / $3,119.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,809.48 / $5,809.48 / $5,809.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.35 / $531.34 / $831.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,287.48 / $6,592.74 / $13,546.10
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,691.53 / $13,186.96 / $23,122.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.70 / $1,450.18 / $2,034.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.88 / $1,901.54 / $4,574.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.16 / $1,838.63 / $2,627.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.04 / $1,738.46 / $3,601.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.18 / $1,650.01 / $2,186.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.86 / $1,042.02 / $9,232.98
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,991.12 / $4,991.12 / $8,577.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.38 / $1,293.76 / $2,010.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,991.00 / $9,404.00 / $12,668.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.04 / $1,382.81 / $1,994.81