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Illinois 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
$794.33 / $2,344.23 / $9,772.37
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,168.69 / $6,165.95 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,623.41 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $11,220.18 / $14,125.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $2,754.23
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,365.16 / $9,332.54