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Implantable Breast Prosthesis

Ohio rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $1,738 · 10th–90th $891$4,2660%10%10th90th$1,738Professionalmedian $955 · 10th–90th $398$3,3110%20%40%10th90th$955$10.0$50.0$200.0$1.0K$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
$891.25
Median
$1,737.80
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$15.85
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
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,570.40
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99