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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
$2,236.00 / $9,774.00 / $14,772.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.95 / $3,448.92 / $4,931.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.95 / $3,448.92 / $4,931.96