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Utah rates for HCPCS 19371

Peri-Implant Capsulectomy Breast Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.53 / $6,201.95 / $13,762.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,548.76 / $12,208.96 / $14,804.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,302.41 / $7,227.26 / $10,532.19
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,953.62 / $10,840.89 / $15,798.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00