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Virginia 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
$891.25 / $3,981.07 / $9,772.37
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,019.95 / $5,011.87 / $12,589.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,995.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,621.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,548.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61