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Minnesota 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
$616.60 / $616.60 / $2,238.72
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $8,912.51 / $17,378.01
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,120.11 / $16,218.10 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $5,495.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,819.70 / $1,819.70 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,456.54 / $10,715.19