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Delaware 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
$685.22 / $9,188.95 / $15,842.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,032.47 / $15,176.67 / $16,113.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,132.00 / $6,132.00 / $6,132.00
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,402.41 / $3,402.41 / $7,884.85