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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
$1,071.52 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,128.31 / $10,964.78