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Louisiana 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
$891.25 / $2,630.27 / $5,888.44
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,803.84 / $13,803.84 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,888.44 / $8,912.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,511.38