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Arizona 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
$977.24 / $2,344.23 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$524.81 / $2,754.23 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,318.26 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $912.01 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $7,244.36