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Iowa 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
$1,914.11 / $4,889.39 / $10,563.53
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,924.46 / $2,924.46 / $10,574.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.59 / $981.96 / $1,676.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.43 / $1,795.70 / $9,834.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.00 / $1,983.77 / $2,865.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00