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West 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
$616.60 / $3,090.30 / $8,128.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,318.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $33,113.11 / $33,113.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $10,964.78