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Michigan rates for HCPCS 19371

Peri-Implant Capsulectomy Breast Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.75 / $4,933.00 / $8,596.94
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,782.63 / $2,782.63 / $11,053.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,895.74 / $8,049.41 / $10,965.51
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,971.29 / $5,639.19 / $7,434.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.25 / $4,933.00 / $8,596.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,486.40 / $10,486.40 / $11,053.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00