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Utah rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $676.08 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,047.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,165.95 / $14,454.40
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,762.47 / $9,120.11 / $21,877.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,230.27 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $1,047.13