go back

Michigan 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
$977.24 / $2,041.74 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $977.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,041.74 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,456.54 / $10,471.29