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Washington, DC rates for HCPCS 19396

Preparation of moulage for custom breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $4,073.80 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $229.09 / $467.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $549.54 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $269.15 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $331.13 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $16,218.10 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $275.42 / $660.69