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California 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
$1,737.80 / $6,025.60 / $17,378.01
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$758.58 / $5,011.87 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $12,882.50
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,754.23 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $2,290.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,412.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $19,498.45 / $19,498.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $10,000.00 / $20,892.96