go back

Rhode Island 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
$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