go back

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
$602.56 / $4,570.88 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,096.48 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,884.03 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,548.82 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,128.31 / $10,964.78