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New York rates for HCPCS 19370

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

Facilitymedian $5,754 · 10th–90th $1,096–$12,5890%5%10th90th$5,754$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $5,248.07 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,365.16 / $6,456.54 / $11,481.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $7,244.36 / $21,877.62
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,398.83 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $5,754.40 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $954.99 / $2,398.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,165.95 / $6,165.95
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $11,481.54
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,897.79 / $10,232.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $724.44 / $1,949.84