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New Mexico 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
$1,047.00 / $3,111.44 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,471.50 / $7,471.50 / $7,471.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,517.39 / $13,325.38 / $24,181.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.84 / $727.79 / $877.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00