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Indiana rates for HCPCS 19330

Rmvl Ruptured Breast Implant W/Implant Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.95 / $1,386.00 / $5,634.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,609.73 / $6,609.73 / $6,609.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $15,154.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.25 / $877.07 / $1,315.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.25 / $2,061.25 / $2,061.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00