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Wyoming rates for HCPCS 19396

Preparation of moulage for custom breast implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.15 / $143.15 / $284.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.00 / $395.00 / $682.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.84 / $297.63 / $673.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.35 / $636.25 / $1,090.32