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Missouri rates for HCPCS 19396

Preparation of moulage for custom breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.58 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.69 / $201.17 / $263.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,643.00 / $17,951.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $226.19 / $396.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,488.00 / $13,882.00 / $15,775.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.54 / $296.74 / $614.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.63 / $292.63 / $5,698.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.26 / $480.05 / $2,056.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,527.00 / $6,944.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.26 / $352.66 / $544.20