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Kansas 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
$1,797.00 / $5,939.00 / $12,237.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,711.00 / $5,146.03 / $7,473.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.36 / $3,237.02 / $6,817.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,517.00 / $12,517.00 / $12,517.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.05 / $1,069.95 / $9,451.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,240.86 / $1,240.86 / $1,240.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00