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Rhode Island rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.11 / $185.55 / $254.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.76 / $283.73 / $473.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.10 / $299.10 / $591.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.32 / $410.30 / $635.70