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Tennessee 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
$667.78 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,442.00 / $18,800.55 / $18,800.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,611.00 / $5,878.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,413.08 / $8,723.79 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00