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Virginia 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
$660.41 / $2,561.00 / $8,900.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,171.58 / $1,171.58 / $1,828.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.09 / $741.71 / $914.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.41 / $848.51 / $1,201.11
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,086.58 / $1,409.83 / $1,888.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.96 / $829.74 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00