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Massachusetts 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
$562.34 / $2,344.23 / $5,128.61
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,089.30 / $2,089.30 / $8,317.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $5,754.40 / $19,498.45
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,288.25 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,584.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18