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Idaho 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
$1,162.58 / $1,162.58 / $5,519.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,483.79 / $10,483.79 / $10,483.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.27 / $1,025.81 / $1,220.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,871.35 / $8,752.65 / $11,549.09
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,189.03 / $13,128.98 / $18,010.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00