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Wisconsin rates for HCPCS 19370

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

Facilitymedian $7,762 · 10th–90th $1,175–$13,4900%10%20%10th90th$7,762Professionalmedian $1,549 · 10th–90th $794–$2,1380%20%10th90th$1,549$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,174.90 / $20,417.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.95 / $6,606.93 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,041.74 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $4,786.30 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $7,244.36 / $12,589.25
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,548.82 / $2,137.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $8,709.64 / $8,709.64
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $12,022.64