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Rhode Island rates for HCPCS 19328

Removal Intact Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,701.93 / $4,701.93 / $4,701.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.20 / $521.99 / $525.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.00 / $667.06 / $946.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $902.60 / $1,309.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.31 / $717.41 / $1,311.90