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Georgia 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
$1,062.61 / $4,817.00 / $6,915.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,634.00 / $6,291.00 / $9,084.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.80 / $3,116.30 / $6,315.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.42 / $1,370.66 / $2,104.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.85 / $1,942.85 / $1,942.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.59 / $867.87 / $1,608.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00