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Illinois 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
$1,023.29 / $3,548.13 / $8,912.51
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,089.30 / $6,918.31 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,623.41 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $11,220.18 / $14,125.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,174.90 / $4,265.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,365.16 / $9,332.54