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Iowa 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
$4,146.00 / $5,091.00 / $9,185.68
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,054.31 / $6,054.31 / $10,506.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.20 / $1,134.04 / $1,939.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.72 / $2,017.38 / $9,834.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.00 / $1,983.77 / $2,865.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00