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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
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,019.95 / $3,019.95 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $10,471.29 / $16,595.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,691.53 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,317.64