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Washington rates for HCPCS 19330

Rmvl Ruptured Breast Implant W/Implant Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.65 / $1,803.29 / $17,930.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,352.00 / $6,964.00 / $10,681.49
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,520.82 / $10,802.03 / $20,663.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,735.34 / $16,203.05 / $31,346.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,186.71 / $2,186.71 / $3,643.05
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.34 / $1,362.73 / $8,528.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,528.74 / $9,505.52 / $22,870.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.27 / $1,220.07 / $1,303.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.59 / $889.32 / $1,239.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,156.89 / $10,795.86 / $20,663.07
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,735.34 / $16,193.79 / $30,994.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,297.00 / $12,835.00