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Nebraska 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
$1,506.15 / $5,909.48 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,026.00 / $12,140.63 / $12,140.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,187.86 / $8,386.12 / $15,742.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.77 / $1,188.83 / $8,632.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.28 / $1,470.59 / $2,865.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00