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New Mexico 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
$648.60 / $7,838.38 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,454.42 / $11,532.94 / $18,491.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.47 / $796.05 / $960.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00