| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,772.57 | |
Moda Health
| Facility | $863.95 | $3,448.92 | $4,931.96 | |
Providence
| Facility | $863.95 | $3,448.92 | $4,931.96 |
Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,772.57 | |
Moda Health
| Facility | $863.95 | $3,448.92 | $4,931.96 | |
Providence
| Facility | $863.95 | $3,448.92 | $4,931.96 |