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South Carolina rates for HCPCS 19328

Removal Intact Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.32 / $5,107.20 / $9,062.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$11,745.88 / $11,745.88 / $11,745.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.50 / $601.32 / $896.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.00 / $7,454.68 / $13,433.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $536.24 / $864.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,956.98 / $2,514.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.24 / $664.33 / $1,417.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $601.32 / $1,088.20
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$676.50 / $879.23 / $1,471.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.64 / $1,731.45 / $1,899.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $414.57 / $745.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,114.00 / $13,190.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.35 / $665.22 / $1,193.84