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Nevada rates for HCPCS 19396

Preparation of moulage for custom breast implant

Facilitymedian $3,467 · 10th–90th $257–$10,2330%10%20%10th90th$3,467Professionalmedian $234 · 10th–90th $123–$7590%10%10th90th$234$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$257.04 / $2,884.03 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $229.09 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,025.60 / $7,762.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $245.47 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $234.42 / $457.09
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $223.87 / $467.74
Hometown Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $186.21 / $436.52
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,754.23 / $7,943.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $239.88 / $478.63