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Alabama rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.51 / $1,520.00 / $2,250.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,900.00 / $3,778.13 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,321.85 / $5,231.95 / $7,038.65
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,482.78 / $7,847.92 / $10,557.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,384.00 / $5,251.00