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Utah rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.80 / $5,821.00 / $9,907.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,525.87 / $2,525.87 / $12,432.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,302.41 / $7,227.26 / $10,532.19
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,953.62 / $10,840.89 / $15,798.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00