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Minnesota rates for HCPCS 19371

Peri-Implant Capsulectomy Breast Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.07 / $681.07 / $6,575.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,054.31 / $6,054.31 / $8,589.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,616.37 / $6,793.27 / $14,092.16
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,691.53 / $13,186.96 / $23,122.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.69 / $2,433.06 / $5,853.06
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.73 / $2,224.40 / $4,608.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.12 / $1,434.01 / $9,232.98
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,829.75 / $5,222.35 / $16,751.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00