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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
$1,249.00 / $2,747.00 / $5,048.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,998.20 / $4,038.00 / $14,378.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.93 / $5,268.00 / $15,220.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.07 / $1,542.70 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.90 / $1,919.63 / $4,835.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,104.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00