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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
$618.29 / $618.29 / $2,168.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,140.63 / $12,140.63 / $12,140.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.25 / $6,631.62 / $13,725.90
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,691.53 / $13,186.96 / $23,122.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.50 / $2,207.32 / $5,310.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.33 / $2,018.02 / $4,181.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.84 / $1,290.91 / $9,232.98
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,810.01 / $1,810.01 / $9,119.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00