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Mississippi rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.09 / $844.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.01 / $232.36 / $504.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.97 / $1,453.97 / $1,453.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $315.00 / $315.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.14 / $1,591.14 / $1,591.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.25 / $292.54 / $553.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,717.00 / $7,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.44 / $304.81 / $593.07