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Florida rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.80 / $4,245.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.30 / $182.44 / $288.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,533.07 / $1,825.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.71 / $247.87 / $487.22
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.60 / $192.18 / $338.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.05 / $296.55 / $392.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,136.00 / $12,748.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.35 / $310.86 / $542.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.98 / $222.79 / $222.79