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Massachusetts 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
$1,949.84 / $3,630.78 / $5,370.32
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,995.26 / $4,073.80 / $14,454.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,754.40 / $33,884.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,412.54 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,905.46 / $4,786.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,754.40 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18