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Idaho rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.58 / $3,935.40 / $9,984.28
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$15,776.00 / $15,776.00 / $15,776.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.84 / $1,074.78 / $1,297.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,871.35 / $8,752.65 / $11,549.09
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,189.03 / $13,128.98 / $18,010.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00