go back

Pennsylvania rates for HCPCS C1789

Prosthesis, breast (implantable)

Facilitymedian $2,344 · 10th–90th $708–$7,4130%10%10th90th$2,344Professionalmedian $398 · 10th–90th $398–$1,2590%50%90th$398$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,344.23 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $1,258.93
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $52,480.75 / $69,183.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,778.28 / $3,311.31
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $45,708.82 / $77,624.71
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $741.31 / $1,445.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $512.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60