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North Dakota rates for HCPCS 19396

Preparation of moulage for custom breast implant

Facilitymedian $288 · 10th–90th $135–$8,5110%10%20%10th90th$288Professionalmedian $288 · 10th–90th $135–$5890%10%10th90th$288$200.0$500.0$1.0K$2.0K$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 / $269.15 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $831.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $288.40 / $489.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $524.81 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,888.44 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $295.12 / $616.60