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Massachusetts rates for HCPCS 19370

Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy

Facilitymedian $3,890 · 10th–90th $1,585–$7,7620%10%10th90th$3,890$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,715.35 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,801.89 / $6,309.57 / $10,232.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,754.40 / $33,884.42
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $912.01 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,248.07 / $11,220.18
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,128.61 / $18,620.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,754.40 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,248.07 / $11,220.18