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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
$1,827.09 / $7,945.00 / $21,162.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,001.58 / $11,738.41 / $31,743.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,822.00 / $8,727.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $10,419.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.01 / $2,296.29 / $5,409.85
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.82 / $829.48 / $1,119.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.12 / $947.49 / $1,691.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,995.52 / $8,723.79 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.34 / $957.04 / $1,339.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.00 / $9,759.00 / $22,073.00