go back

Maryland rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $939.86 / $5,734.53
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.98 / $3,486.38 / $3,648.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.87 / $1,621.87 / $1,621.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.58 / $914.07 / $1,513.79