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Implantable Breast Prosthesis

Virginia rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $1,259 · 10th–90th $398$3,5480%10%10th90th$1,259Professionalmedian $398 · 10th–90th $398$1,2590%50%90th$398$0.0$0.2$2.0$20.0$200.0$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
$1,348.96
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$741.31
Sentara
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80