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California 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
$2,691.53 / $8,912.51 / $21,877.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,019.95 / $10,471.29 / $31,622.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,471.29 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $4,786.30 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $2,290.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,548.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $10,000.00 / $20,892.96