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Utah rates for HCPCS 19371

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

Facilitymedian $7,586 · 10th–90th $3,388–$16,2180%10%10th90th$7,586Professionalmedian $1,096 · 10th–90th $741–$1,2880%20%10th90th$1,096$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
$3,162.28 / $7,079.46 / $16,218.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,548.13 / $12,302.69 / $12,302.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,585.78 / $11,481.54
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,128.31 / $11,220.18 / $16,982.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,096.48 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $8,317.64