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Implantable Breast Prosthesis

Idaho rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $1,585 · 10th–90th $398$4,0740%10%10th90th$1,585Professionalmedian $398 · 10th–90th $398$1,2590%50%90th$398$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,187.76
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,019.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,995.26
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$6,025.60