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Florida rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.12 / $4,421.35 / $11,576.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,719.53 / $4,269.04 / $8,907.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $1,533.07 / $1,825.09
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,164.00 / $12,767.00 / $23,031.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,136.00 / $12,748.00