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South Carolina 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
$933.25 / $7,244.36 / $16,595.87
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,128.61 / $6,606.93 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,918.31 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,949.84 / $2,511.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,988.33