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Implantable Breast Prosthesis

New Jersey rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $1,000 · 10th–90th $525$3,2360%10%10th90th$1,000Professionalmedian $398 · 10th–90th $380$3,0200%50%10th90th$398$100.0$500.0$2.0K$10.0K$50.0K

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
$524.81
Median
$1,000.00
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$3,311.31
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$26,915.35
Typical High
$40,738.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99