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South 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
$5,370.32 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,025.60 / $11,481.54 / $15,848.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,918.31 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,949.84 / $2,511.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,988.33