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Washington rates for HCPCS 19330

Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)

Facilitymedian $2,818 · 10th–90th $851–$15,8490%5%10th90th$2,818$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,754.23 / $18,620.87
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,348.96 / $6,918.31 / $10,715.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $10,232.93 / $20,892.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,232.93 / $15,135.61 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,548.82 / $9,549.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,511.38 / $12,589.25 / $26,915.35
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,230.27 / $1,318.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $891.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $10,471.29 / $20,892.96
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,715.19 / $15,848.93 / $30,902.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $12,302.69 / $22,387.21