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Implantable Breast Prosthesis

Vermont rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much rates vary

Facilitymedian $3,388 · 10th to 90th $3,388 to $3,388Professionalmedian $955 · 10th to 90th $398 to $955
$500$1K$2Kfacility $3,388professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99