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Custom Mould For A Made-To-Measure Breast Implant

Washington, DC rates for HCPCS 19396

An impression of the chest is taken and shaped so that a breast implant can be manufactured to match the individual's own contour. It is the preparatory step used when a standard, off-the-shelf implant would not fit the chest wall well, and the finished implant is placed inside the body at a later operation.

Facilitymedian $4,074 · 10th–90th $288$7,7620%10%20%10th90th$4,074Professionalmedian $240 · 10th–90th $120$4680%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
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$4,073.80
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$416.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$630.96
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$331.13
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$10,000.00
Typical High
$26,915.35
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$288.40
Typical High
$660.69