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Maryland rates for HCPCS 19330

Rmvl Ruptured Breast Implant W/Implant Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.54 / $904.76 / $1,608.85
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,693.41 / $5,693.41 / $8,453.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.87 / $1,621.87 / $1,621.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.00 / $878.49 / $1,458.25