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Iowa 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 / $2,290.87 / $6,760.83
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,047.13 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,884.03 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,445.44 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,128.31 / $10,964.78