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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
$954.99 / $3,801.89 / $12,882.50
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,023.29 / $1,023.29 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,128.31 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,888.44 / $8,912.51