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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
$1,843.24 / $2,834.13 / $6,446.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,140.63 / $12,140.63 / $12,140.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.22 / $910.36 / $1,536.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.33 / $1,702.63 / $9,834.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.00 / $1,881.77 / $2,865.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00