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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
$3,522.00 / $8,031.00 / $18,575.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,379.44 / $5,520.00 / $21,663.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $12,806.00 / $18,294.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00