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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
$1,174.90 / $1,412.54 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,471.29 / $10,471.29 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,128.61 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,311.31 / $7,244.36 / $14,791.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $4,365.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,511.38 / $12,022.64
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,232.93 / $13,182.57 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01