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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
$776.25 / $1,096.48 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $15,488.17 / $25,118.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $16,982.44