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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
$870.96 / $5,248.07 / $8,709.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,165.95 / $6,165.95 / $9,120.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $9,549.93 / $14,454.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $19,498.45