go back

New Jersey 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
$1,819.70 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,698.24 / $5,370.32 / $10,000.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $12,302.69 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $7,585.78 / $15,135.61