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Implantable Breast Prosthesis

Michigan rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $2,138 · 10th–90th $417$4,1690%10%10th90th$2,138Professionalmedian $398 · 10th–90th $339$3,0200%50%10th90th$398$500.0$1.0K$2.0K$5.0K

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
$416.87
Median
$2,137.96
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$501.19
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$512.86