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Missouri 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
$570.00 / $2,598.00 / $12,154.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,244.00 / $14,244.00 / $14,244.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $2,728.00 / $16,201.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,488.00 / $13,882.00 / $15,775.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.41 / $1,130.34 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,527.00 / $6,944.00