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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
$735.26 / $2,397.00 / $4,392.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,607.04 / $6,946.54 / $6,946.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.28 / $5,833.70 / $8,973.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,358.79 / $6,358.79 / $6,358.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00