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Texas 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
$573.45 / $2,131.00 / $6,762.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,530.00 / $3,373.50 / $6,485.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.41 / $4,786.68 / $9,694.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.69 / $523.69 / $577.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.78 / $2,207.78 / $2,207.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,723.79 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.69 / $757.83 / $1,384.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.69 / $770.18 / $1,386.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00