Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
IMPLANT BREAST ALLERGAN 410MX MOD XFP 410CC
Las Vegas, NV
See all hospitals reporting HCPCS C1789 →Price type
University Medical Center of Southern Nevada’s median price of $1.7k is 19% below the median hospital's median price ($2.1k), higher than 36% of the 1,315 hospitals reporting HCPCS C1789. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna qhp gatekeeper fee schedule · outpatient | $704.06 | $704.06 | $704.06 – $704.06 |
| 2 | Aetna medicare managed care fee schedule · outpatient | $1,006 | $1,030 | $275.62 – $2,754 |
| 3 | Cigna generic fee schedule · outpatient | $1,018 | $1,043 | $279.00 – $2,788 |
| 4 | Cigna healthpartners fee schedule · outpatient | $1,018 | $1,043 | $279.00 – $2,788 |
| 5 | Kaiser posppo fee schedule · outpatient | $1,018 | $1,043 | $279.00 – $2,788 |
| 6 | Molina medicare advantage fee schedule · outpatient | $1,232 | $1,262 | $337.50 – $3,372 |
| 7 | Bcbs Nv anthem federal fee schedule · outpatient | $1,368 | $1,401 | $374.73 – $3,744 |
| 8 | Bcbs Nv anthem hmo fee schedule · outpatient | $1,368 | $1,401 | $374.73 – $3,744 |
| 9 | Bcbs Nv anthem ppo fee schedule · outpatient | $1,368 | $1,401 | $374.73 – $3,744 |
| 10 | Bcbs Nv generic fee schedule · outpatient | $1,368 | $1,401 | $374.73 – $3,744 |
| 11 | Aetna generic fee schedule · outpatient | $1,397 | $1,431 | $382.72 – $3,824 |
| 12 | Aetna hmo fee schedule · outpatient | $1,397 | $1,431 | $382.72 – $3,824 |
| 13 | Aetna meritain fee schedule · outpatient | $1,397 | $1,431 | $382.72 – $3,824 |
| 14 | Aetna ppo fee schedule · outpatient | $1,397 | $1,431 | $382.72 – $3,824 |
| 15 | Aetna src student fee schedule · outpatient | $1,397 | $1,431 | $382.72 – $3,824 |
| 16 | UnitedHealthcare all plans fee schedule · outpatient | $1,643 | $1,682 | $450.00 – $4,496 |
| 17 | UnitedHealthcare generic fee schedule · outpatient | $1,643 | $1,682 | $450.00 – $4,496 |
| 18 | UnitedHealthcare golden rule fee schedule · outpatient | $1,643 | $1,682 | $450.00 – $4,496 |
| 19 | UnitedHealthcare oxford health fee schedule · outpatient | $1,643 | $1,682 | $450.00 – $4,496 |
| 20 | UnitedHealthcare umr fee schedule · outpatient | $1,643 | $1,682 | $450.00 – $4,496 |
| 21 | Aetna international passport to health fee schedule · outpatient | $1,848 | $1,892 | $506.25 – $5,058 |
| 22 | Ambetter centene all plans fee schedule · outpatient | $1,848 | $1,892 | $506.25 – $5,058 |
| 23 | Molina marketplace fee schedule · outpatient | $1,848 | $1,892 | $506.25 – $5,058 |
| 24 | First Health all plans fee schedule · outpatient | $2,012 | $2,060 | $551.25 – $5,508 |
| 25 | Bcbs Nv anthem medicaid fee schedule · outpatient | $2,546 | $2,607 | $697.50 – $6,969 |
Last updated: Jul 1, 2026
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