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Custom Mould For A Made-To-Measure Breast Implant

Florida 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.

Rates data updated July 2026.

How much does Custom Mould For A Made-To-Measure Breast Implant cost?

$251

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $6,761 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$129 to $263
FacilityA hospital or hospital-owned outpatient department$6,761$2,291 to $10,965

How much rates vary

Facilitymedian $6,761 · 10th to 90th $933 to $14,125Professionalmedian $224 · 10th to 90th $120 to $389
$50$200$1K$5K$20Kfacility $6,761professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,677.35
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$389.05
AvMed
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$4,073.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,548.82
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$257.04
Typical High
$489.78
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$213.80
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$7,762.47
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$478.63
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$302.00

Where Florida sits

The same service costs 21.4 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 39th of 51

$251

CA $4,571WV $214

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.