go back

New York 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
$812.83 / $3,090.30 / $10,232.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,584.89 / $1,584.89 / $7,585.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,413.10 / $21,877.62
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $724.44 / $2,089.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,248.07 / $12,302.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,778.28