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Alabama rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.35 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.18 / $222.11 / $294.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,867.33 / $2,260.55 / $3,041.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $199.01 / $321.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.61 / $248.60 / $839.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,384.00 / $5,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.20 / $269.22 / $459.70