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Massachusetts rates for HCPCS 19330

Rmvl Ruptured Breast Implant W/Implant Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,693.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,904.83 / $2,100.00 / $8,329.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $5,268.00 / $12,000.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.00 / $1,349.66 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.71 / $1,586.71 / $1,737.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,104.00 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00