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Indiana 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
$707.95 / $4,897.79 / $14,125.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $14,125.38 / $19,498.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $707.95 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,762.47 / $10,964.78