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Louisiana 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
$851.14 / $2,570.40 / $5,888.44
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,623.41 / $6,918.31 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,888.44 / $8,912.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $6,309.57 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,511.38