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Michigan rates for HCPCS 19330

Rmvl Ruptured Breast Implant W/Implant Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.09 / $2,056.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,815.12 / $3,286.09 / $4,476.56
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,779.24 / $2,302.14 / $3,035.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.37 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00