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Oregon rates for HCPCS 19370

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

Facilitymedian $1,349 · 10th–90th $933–$18,1970%20%10th90th$1,349Professionalmedian $1,318 · 10th–90th $1,000–$1,6980%20%10th90th$1,318$1.0K$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,737.80 / $13,803.84
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,918.31 / $18,197.01 / $19,054.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,288.25 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,174.90 / $2,187.76
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,918.31 / $15,135.61 / $19,054.61
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,318.26 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $933.25 / $1,659.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,022.64 / $16,218.10
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$12,882.50 / $18,197.01 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $13,182.57 / $25,118.86