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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
$634.16 / $4,498.00 / $12,154.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,399.00 / $4,144.50 / $8,668.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.00 / $4,587.00 / $17,951.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,488.00 / $13,882.00 / $15,775.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.03 / $1,268.81 / $12,067.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,527.00 / $6,944.00