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Connecticut rates for HCPCS 19396

Preparation of moulage for custom breast implant

Facilitymedian $6,310 · 10th–90th $562–$10,4710%10%10th90th$6,310Professionalmedian $240 · 10th–90th $123–$5250%10%10th90th$240$100.0$500.0$2.0K$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
$562.34 / $5,495.41 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $234.42 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,302.69 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $331.13 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $288.40 / $741.31
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $8,709.64 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $281.84 / $549.54