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Oklahoma 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
$837.02 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,036.00 / $5,702.46 / $5,702.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.62 / $11,214.31 / $17,622.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.27 / $1,054.05 / $7,992.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94