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Connecticut 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
$3,311.31 / $7,413.10 / $18,197.01
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,715.35 / $5,495.41 / $21,877.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,882.50 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,709.64 / $11,748.98