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Vermont rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.11 / $264.70 / $1,536.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.52 / $309.95 / $1,001.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.60 / $382.12 / $1,001.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.37 / $408.35 / $1,229.00