go back

California rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $7,257.69 / $20,509.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,170.31 / $5,657.62 / $17,771.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,944.00 / $13,012.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,901.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.01 / $2,296.29 / $5,409.85
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.16 / $786.91 / $1,062.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.52 / $895.08 / $1,600.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,765.18 / $8,723.79 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.30 / $872.86 / $1,259.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.00 / $9,759.00 / $22,073.00