go back

North Carolina 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
$1,186.29 / $5,355.07 / $8,146.23
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,829.78 / $7,514.00 / $15,051.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.26 / $957.50 / $1,752.75
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,054.50 / $1,436.25 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,995.52 / $8,723.79 / $26,542.00