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Montana rates for HCPCS 19371

Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.79 / $1,126.79 / $1,126.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.21 / $1,329.90 / $1,450.32