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Implantable Breast Prosthesis

Minnesota rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $1,950 · 10th–90th $398$4,0740%10%10th90th$1,950Professionalmedian $398 · 10th–90th $398$3,3110%50%90th$398$1.0$5.0$20.0$100.0$500.0$2.0K

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
$398.11
Median
$2,041.74
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,311.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.00
Typical High
$1.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,412.54
Typical High
$2,398.83