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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
$1,047.13 / $4,365.16 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,818.38 / $6,456.54 / $15,135.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $9,549.93 / $14,454.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $33,884.42