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Washington rates for HCPCS 19328

Removal Intact Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.71 / $2,704.00 / $17,930.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.77 / $715.71 / $1,281.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.95 / $971.95 / $971.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,520.82 / $10,802.03 / $20,663.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,735.34 / $16,203.05 / $31,346.52
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.65 / $1,374.81 / $4,850.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,186.71 / $2,186.71 / $3,643.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.69 / $1,125.65 / $1,690.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.83 / $1,060.65 / $8,528.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,528.74 / $9,505.52 / $22,870.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.09 / $1,050.33 / $2,454.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.38 / $263.32 / $1,162.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.96 / $953.41 / $1,119.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.92 / $763.65 / $1,239.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.04 / $1,273.80 / $1,566.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,156.89 / $10,795.86 / $20,663.07
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,735.34 / $16,193.79 / $30,994.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.68 / $1,098.51 / $1,479.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,198.00 / $13,695.73 / $21,906.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.49 / $1,087.46 / $1,604.68