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Pennsylvania rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,570.40 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$616.60 / $3,235.94 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,584.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,606.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,122.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $891.25
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $954.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $7,585.78
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,585.78 / $7,585.78 / $20,892.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,089.30 / $8,317.64
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$616.60 / $3,801.89 / $9,120.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,584.89
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,122.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $912.01 / $1,071.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $537.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,981.07 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $1,000.00