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Kentucky 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
$558.37 / $1,067.56 / $9,311.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,672.00 / $8,500.00 / $8,500.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,967.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.72 / $866.03 / $999.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.75 / $760.71 / $760.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00