go back

Minnesota rates for HCPCS 19396

Preparation of moulage for custom breast implant

Facilitymedian $1,862 · 10th–90th $269–$13,8040%5%10th90th$1,862Professionalmedian $407 · 10th–90th $166–$9120%5%10th90th$407$50.0$200.0$1.0K$5.0K$20.0K

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 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $8,511.38 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $489.78 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,023.29 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $602.56 / $1,148.15
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $933.25 / $1,862.09
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $549.54 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $371.54 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $616.60 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,456.54 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $446.68 / $933.25