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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
$645.65 / $2,041.74 / $7,079.46
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,819.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,479.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,230.27
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $851.14 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61