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Utah rates for HCPCS 19328

Removal Intact Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.07 / $3,038.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.26 / $519.07 / $836.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.64 / $757.70 / $1,032.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $332.07 / $495.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,302.41 / $7,227.26 / $10,532.19
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,953.62 / $10,840.89 / $15,798.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.14 / $857.68 / $1,033.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.19 / $611.85 / $1,038.95