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Texas rates for HCPCS 19371

Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents

Facilitymedian $3,890 · 10th–90th $1,000–$12,0230%5%10%10th90th$3,890$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $3,715.35 / $12,302.69
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,862.09 / $6,456.54 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,677.35 / $9,549.93
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $1,202.26 / $2,754.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $33,884.42 / $33,884.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,202.26 / $5,370.32
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,162.28 / $6,456.54 / $13,182.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $912.01 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $4,677.35 / $9,120.11