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Arizona 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
$2,041.74 / $4,677.35 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,019.95 / $5,370.32 / $10,715.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,511.89 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $7,244.36