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Maine 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
$2,187.76 / $2,187.76 / $2,187.76
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$17,782.79 / $18,197.01 / $18,197.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$17,782.79 / $17,782.79 / $18,197.01