go back

Texas 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
$863.75 / $3,455.00 / $10,608.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,847.50 / $4,305.00 / $9,951.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.41 / $4,673.28 / $9,573.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.09 / $4,133.97 / $4,133.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.78 / $2,207.78 / $2,207.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,723.79 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.29 / $944.39 / $1,720.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.29 / $954.09 / $1,764.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00