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Idaho rates for HCPCS 19371

Peri-Implant Capsulectomy Breast Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.77 / $1,280.77 / $5,519.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,833.60 / $8,638.33 / $10,600.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.57 / $1,173.66 / $1,455.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,871.35 / $8,752.65 / $11,549.09
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,189.03 / $13,128.98 / $18,010.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00