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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
$641.00 / $2,266.00 / $7,629.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,633.00 / $8,755.50 / $9,208.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.77 / $493.35 / $971.74
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.67 / $799.47 / $957.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.77 / $667.30 / $1,119.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.38 / $888.44 / $888.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.00 / $7,508.69 / $12,914.15
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,147.41 / $7,671.23 / $20,895.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.50 / $2,070.00 / $8,017.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$617.00 / $3,832.50 / $9,208.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.13 / $651.88 / $1,508.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $567.29 / $1,093.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.19 / $670.07 / $1,119.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.98 / $541.10 / $541.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.98 / $541.10 / $574.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $5,110.35 / $12,324.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.86 / $579.23 / $994.45