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Georgia rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.91 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.63 / $249.46 / $427.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $3,514.57 / $6,339.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.19 / $276.18 / $532.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.91 / $291.36 / $447.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.85 / $1,942.85 / $1,942.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.59 / $325.61 / $613.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.94 / $273.51 / $435.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.06 / $275.23 / $461.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.21 / $339.79 / $600.33