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Delaware 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
$616.60 / $660.69 / $6,025.60
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,309.57 / $12,589.25 / $14,454.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $30,902.95
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30