go back

Kentucky rates for HCPCS 19396

Preparation of moulage for custom breast implant

Facilitymedian $2,630 · 10th–90th $135–$10,7150%10%10th90th$2,630Professionalmedian $224 · 10th–90th $120–$3720%10%10th90th$224$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $851.14 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $194.98 / $346.74
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $177.83 / $213.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $181.97 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $275.42 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $4,677.35 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $467.74