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New York 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
$957.54 / $4,827.00 / $10,526.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,906.46 / $6,265.35 / $19,116.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $6,758.00 / $20,583.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.11 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.84 / $806.84 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,035.00 / $1,893.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.39 / $8,912.04 / $10,816.48
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6.95 / $3,995.03 / $9,832.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $806.84 / $23,610.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $12,177.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.03 / $763.03 / $2,537.48