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Rhode Island rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,617.75 / $3,617.75 / $3,617.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $9,622.00