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Michigan 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
$831.76 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,754.23 / $2,754.23 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $1,071.52 / $1,621.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,398.83 / $6,918.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,754.23 / $2,754.23 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,456.54 / $10,471.29