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Alaska rates for HCPCS 19330

Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,606.93 / $14,454.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $831.76 / $4,365.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,162.28 / $4,466.84