go back

Maryland 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
$1.00 / $741.31 / $5,754.40
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.98 / $3,548.13 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72