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Missouri 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
$1,548.82 / $4,466.84 / $13,803.84
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,388.44 / $4,168.69 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,803.84 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,290.87 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,754.40