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
$785.36 / $3,419.00 / $10,081.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,531.23 / $9,531.23 / $9,531.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $6,758.00 / $20,583.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.43 / $1,254.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.95 / $730.95 / $3,479.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $694.48 / $1,715.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.54 / $1,717.50 / $5,048.49
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,094.16 / $10,094.16 / $10,094.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $730.95 / $23,610.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $12,177.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.60 / $692.60 / $1,795.03