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Maryland 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
$0.99 / $867.70 / $4,073.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$184.50 / $2,434.64 / $4,599.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.87 / $1,621.87 / $1,621.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.64 / $999.68 / $1,607.45