go back

Custom Mould For A Made-To-Measure Breast Implant

Rhode Island rates for HCPCS 19396

An impression of the chest is taken and shaped so that a breast implant can be manufactured to match the individual's own contour. It is the preparatory step used when a standard, off-the-shelf implant would not fit the chest wall well, and the finished implant is placed inside the body at a later operation.

Facilitymedian $3,981 · 10th–90th $2,399$9,5500%20%10th90th$3,981Professionalmedian $229 · 10th–90th $110$3720%10%20%10th90th$229$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$229.09
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$223.87
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,128.61
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$457.09