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Illinois rates for HCPCS 19342

Insertion or replacement of breast implant on separate day from mastectomy

Facilitymedian $3,981 · 10th–90th $891–$13,4900%5%10%10th90th$3,981Professionalmedian $1,259 · 10th–90th $776–$4,4670%10%20%10th90th$1,259$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $3,090.30 / $10,000.00
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$977.24 / $7,079.46 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $11,748.98 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $11,220.18 / $14,125.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,258.93 / $4,466.84
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,918.31 / $16,982.44