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New Jersey 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
$629.37 / $5,441.00 / $11,298.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,536.92 / $7,458.00 / $11,087.55
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,761.00 / $9,309.76 / $20,188.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00