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Louisiana 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
$483.00 / $1,300.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,987.44 / $6,055.77 / $8,973.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.69 / $523.69 / $523.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00