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Tennessee 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
$897.49 / $2,683.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$828.00 / $4,768.50 / $4,858.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.00 / $3,989.00 / $5,959.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,995.52 / $8,723.79 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00