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Implantable Breast Prosthesis

Wyoming rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $6,607 · 10th–90th $6,607$6,6070%50%100%$6,607Professionalmedian $2,512 · 10th–90th $398$3,3110%20%10th90th$2,512$500.0$1.0K$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,511.89
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99