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Alaska rates for HCPCS 19371

Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $16,595.87
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$26,915.35 / $26,915.35 / $26,915.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $4,786.30
Moda Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$26,915.35 / $26,915.35 / $26,915.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $4,897.79