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Connecticut rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.95 / $6,653.00 / $9,479.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.49 / $302.42 / $591.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $10,018.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.16 / $323.01 / $679.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.10 / $238.30 / $705.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.14 / $450.60 / $450.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.90 / $429.31 / $958.36