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Ohio 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
$617.50 / $2,051.11 / $9,534.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,011.70 / $4,026.94 / $36,242.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $3,934.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.66 / $733.99 / $974.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00