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West Virginia 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
$698.18 / $10,593.80 / $24,171.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,442.95 / $14,761.44 / $25,744.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.83 / $789.34 / $859.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.71 / $760.71 / $760.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,984.50 / $11,984.50 / $16,617.84