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Massachusetts 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
$1,306.00 / $2,747.00 / $5,048.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,786.00 / $4,312.50 / $10,221.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.78 / $5,268.00 / $15,220.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.21 / $1,458.32 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.58 / $4,231.20 / $18,442.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,104.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00