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North Carolina rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.78 / $434.56 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.78 / $258.74 / $314.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.32 / $312.27 / $700.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.85 / $296.87 / $618.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.78 / $279.75 / $531.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.75 / $279.75 / $722.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.65 / $381.83 / $675.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.76 / $312.81 / $736.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.79 / $709.79 / $5,897.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.00 / $2,124.44 / $2,275.94