go back

Indiana 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
$724.44 / $3,467.37 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $14,125.38 / $19,498.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $645.65 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,762.47 / $10,964.78