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Colorado rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,149.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.02 / $234.50 / $297.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,739.00 / $15,148.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.25 / $315.76 / $531.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.57 / $273.52 / $500.95
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.94 / $268.86 / $431.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.03 / $295.75 / $529.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.00 / $8,586.00 / $15,893.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.51 / $401.79 / $739.83