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North Carolina 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
$630.44 / $1,350.00 / $7,968.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,765.52 / $6,106.65 / $6,106.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.00 / $767.42 / $1,590.73
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$819.00 / $1,151.13 / $2,386.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,413.08 / $8,723.79 / $12,000.00