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Idaho 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
$1,288.25 / $3,388.44 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,760.83 / $6,760.83 / $17,782.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,370.32 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,548.13 / $7,762.47 / $16,982.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $4,466.84
Moda Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,760.83 / $8,709.64 / $17,782.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,511.38 / $12,022.64
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,232.93 / $13,182.57 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01