go back

Minnesota 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
$676.08 / $676.08 / $6,760.83
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,715.35 / $3,715.35 / $6,025.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $8,912.51 / $17,378.01
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,120.11 / $16,218.10 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,570.40 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,584.89 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,818.38 / $5,248.07 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,456.54 / $10,715.19