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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
$589.47 / $4,846.00 / $14,063.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,896.87 / $6,896.87 / $7,771.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $8,512.00 / $16,615.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.83 / $968.22 / $1,452.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.25 / $2,061.25 / $2,061.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00