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Washington, DC 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
$1,614.00 / $4,100.00 / $6,150.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,225.50 / $5,194.00 / $7,392.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.26 / $1,634.25 / $1,634.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00