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North Dakota rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.61 / $288.69 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.72 / $271.81 / $288.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.39 / $397.03 / $674.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.09 / $430.39 / $837.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.61 / $288.69 / $490.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.93 / $549.39 / $754.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.93 / $585.16 / $754.20