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Wisconsin rates for HCPCS 19340

Insertion Breast Implant Same Day Of Mastectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.54 / $1,547.62 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,406.75 / $12,859.11 / $12,859.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,444.00 / $19,639.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.53 / $2,284.02 / $3,684.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.54 / $1,137.30 / $2,614.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.83 / $4,635.00 / $15,743.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.49 / $0.49 / $0.49
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.54 / $1,137.30 / $2,614.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.85 / $2,317.54 / $2,756.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,214.55 / $15,214.55 / $15,214.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00