go back

Montana rates for HCPCS 19370

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.75 / $1,064.75 / $1,064.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.22 / $1,159.59 / $1,265.63