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West 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
$675.13 / $742.64 / $2,300.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,218.10 / $6,218.10 / $6,218.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.14 / $840.06 / $915.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.84 / $806.84 / $806.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,105.39 / $5,105.39 / $11,065.88
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$18,040.27 / $18,040.27 / $18,040.27