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Montana rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $588.84 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $831.76 / $870.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,071.52
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $707.95 / $870.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $524.81 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,230.27