go back

Delaware rates for HCPCS 19396

Preparation of moulage for custom breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.79 / $143.47 / $247.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.82 / $198.17 / $424.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.69 / $282.55 / $813.90