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Wisconsin rates for HCPCS 19340

Insertion of breast implant on same day of mastectomy (ie, immediate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,548.82 / $14,454.40
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,456.54 / $12,882.50 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $3,630.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,884.03 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $7,585.78 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.49 / $0.49 / $0.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,778.28 / $2,754.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $15,135.61 / $15,135.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87