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Tennessee rates for HCPCS 19396

Preparation of moulage for custom breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.01 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.77 / $222.11 / $321.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.00 / $3,927.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $271.33 / $497.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.07 / $285.44 / $502.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.44 / $709.79 / $5,897.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.00 / $2,056.57 / $2,275.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.31 / $374.75 / $602.05