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Wisconsin rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,148.15 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,659.59 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $1,621.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $4,786.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $6,918.31 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $831.76 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $660.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,288.25 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $8,709.64 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,398.83 / $3,981.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $758.58 / $1,905.46