go back

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
$575.44 / $2,818.38 / $15,135.61
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,125.38 / $14,125.38 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,290.87 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,803.84 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,187.76 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,754.40