go back

Alaska rates for HCPCS 19370

Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,920.78 / $9,774.00 / $14,772.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.46 / $3,240.81 / $4,634.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.46 / $3,240.81 / $4,634.35