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Pennsylvania rates for HCPCS 19342

Insertion or replacement of breast implant on separate day from mastectomy

Facilitymedian $5,248 · 10th–90th $1,072–$19,4980%5%10th90th$5,248$500.0$2.0K$10.0K$50.0K

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
$870.96 / $4,073.80 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,890.45 / $7,943.28 / $36,307.81
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,570.88 / $37,153.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $57,543.99
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $22,387.21 / $38,018.94
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,456.54 / $22,908.68 / $33,884.42
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,801.89 / $37,153.52
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $3,090.30 / $8,317.64
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,232.93 / $21,877.62 / $69,183.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,309.57 / $26,302.68