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Pennsylvania rates for HCPCS 19371

Peri-Implant Capsulectomy Breast Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,534.00 / $11,240.36
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,671.76 / $6,239.00 / $9,119.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,399.81 / $14,355.86 / $17,190.32
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,937.98 / $9,021.71 / $38,579.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.31 / $4,761.00 / $10,011.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,546.10 / $6,812.94 / $9,119.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.31 / $696.31 / $864.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00