{"procedure":{"code_type":"CPT","code":"19371","lay_name":"Removal of scar tissue capsule around a breast implant","blurb":"Surgery to remove the hardened scar tissue shell that has formed around a breast implant.","slug":"cpt-19371-removal-of-scar-tissue-capsule-around-a-breast-implant","description":"Peri-Implant Capsulectomy Breast Complete","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"175","label":"Other OR therapeutic procedures on skin and breast","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:17.894638Z","n_priced_setters":3956,"n_filed":645,"n_usable":580,"n_not_usable":1,"n_labelled":43,"n_no_cash":13,"n_estimated":8,"n_states":48,"cash_p10":1117.9,"cash_p20":1488.4,"cash_p25":1625.0,"cash_p50":3495.1,"cash_p75":7599.2,"cash_p80":8224.2,"cash_p90":16153.58,"cash_mean_trimmed":3823.66,"gross_p50":3320.0,"cash_to_gross_p50":0.6,"medicare_rate":4000.24,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.8737,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":8,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":7,"p20":null,"p50":null,"p80":null},{"state":"CA","n":53,"p20":1671.03,"p50":2292.56,"p80":7599.2},{"state":"CO","n":14,"p20":1760.25,"p50":3495.1,"p80":6013.7},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":12,"p20":2854.15,"p50":9892.35,"p80":13329.97},{"state":"GA","n":12,"p20":3800.6,"p50":10780.0,"p80":10780.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":19,"p20":1710.6,"p50":1948.0,"p80":1950.0},{"state":"ID","n":10,"p20":4247.88,"p50":10392.0,"p80":10392.0},{"state":"IL","n":16,"p20":1117.9,"p50":1341.19,"p80":2224.0},{"state":"IN","n":12,"p20":1117.9,"p50":1117.9,"p80":3669.0},{"state":"KS","n":9,"p20":null,"p50":null,"p80":null},{"state":"KY","n":5,"p20":null,"p50":null,"p80":null},{"state":"LA","n":8,"p20":null,"p50":null,"p80":null},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":34,"p20":1488.4,"p50":1541.0,"p80":5383.86},{"state":"MN","n":19,"p20":1630.38,"p50":4352.86,"p80":4818.88},{"state":"MO","n":11,"p20":1609.05,"p50":1953.0,"p80":19810.65},{"state":"MS","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":6,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":7,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":32,"p20":4238.48,"p50":4627.0,"p80":8702.03},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":48,"p20":1622.5,"p50":4531.42,"p80":26035.0},{"state":"OH","n":20,"p20":1951.2,"p50":2934.0,"p80":19504.93},{"state":"OK","n":13,"p20":1218.0,"p50":1218.0,"p80":6679.2},{"state":"OR","n":18,"p20":1318.2,"p50":1716.0,"p80":7652.21},{"state":"PA","n":23,"p20":462.3,"p50":3355.73,"p80":7832.88},{"state":"SC","n":7,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":9,"p20":null,"p50":null,"p80":null},{"state":"TX","n":31,"p20":3913.07,"p50":3959.84,"p80":6441.79},{"state":"VA","n":10,"p20":475.86,"p50":1704.5,"p80":12653.65},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":9,"p20":null,"p50":null,"p80":null},{"state":"WI","n":32,"p20":1625.0,"p50":2506.36,"p80":8224.2},{"state":"WV","n":16,"p20":748.5,"p50":1625.96,"p80":5229.5},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":476,"p20":1488.4,"p50":3959.84,"p80":10110.0},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":96,"p20":1328.04,"p50":1773.6,"p80":4818.88}],"ownership":[{"key":"for_profit","n":64,"p20":1625.0,"p50":4540.0,"p80":12095.44},{"key":"government","n":82,"p20":1287.6,"p50":2388.0,"p80":6299.83},{"key":"nonprofit","n":433,"p20":1488.4,"p50":3495.1,"p80":8224.2}],"affiliation":[{"key":"affiliated","n":459,"p20":1488.4,"p50":3959.84,"p80":9840.68},{"key":"independent","n":121,"p20":1356.74,"p50":2506.36,"p80":6299.83}]},"histogram":[{"lo":734.5,"hi":1049.42,"n":24},{"lo":1049.42,"hi":1499.36,"n":78},{"lo":1499.36,"hi":2142.21,"n":105},{"lo":2142.21,"hi":3060.68,"n":44},{"lo":3060.68,"hi":4372.95,"n":64},{"lo":4372.95,"hi":6247.86,"n":65},{"lo":6247.86,"hi":8926.64,"n":65},{"lo":8926.64,"hi":12753.94,"n":34},{"lo":12753.94,"hi":18222.21,"n":22},{"lo":18222.21,"hi":26035.0,"n":31}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.894638Z","n_priced_setters":3956,"n_filed":318,"n_usable":288,"n_not_usable":0,"n_labelled":20,"n_no_cash":10,"n_estimated":0,"n_states":41,"cash_p10":1050.0,"cash_p20":1225.6,"cash_p25":1318.2,"cash_p50":1760.25,"cash_p75":3959.84,"cash_p80":5946.22,"cash_p90":7599.2,"cash_mean_trimmed":2274.14,"gross_p50":2866.0,"cash_to_gross_p50":0.635,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":42,"p20":1726.4,"p50":1973.93,"p80":7599.2},{"state":"CO","n":9,"p20":null,"p50":null,"p80":null},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":1612.0,"p50":1948.0,"p80":1948.0},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":1117.9,"p50":1287.6,"p80":1948.0},{"state":"IN","n":12,"p20":1093.4,"p50":1117.9,"p80":1686.39},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":15,"p20":1225.6,"p50":1625.0,"p80":1773.6},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MO","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":16,"p20":1488.5,"p50":1612.0,"p80":2193.0},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":1218.0,"p50":1218.0,"p80":1218.0},{"state":"OR","n":10,"p20":1318.2,"p50":1318.2,"p80":7652.21},{"state":"PA","n":9,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":21,"p20":3913.07,"p50":3913.07,"p80":3959.84},{"state":"VA","n":7,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":15,"p20":1625.0,"p50":1625.0,"p80":1625.0},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":236,"p20":1229.0,"p50":1948.0,"p80":6441.79},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":47,"p20":1360.64,"p50":1625.0,"p80":3913.07}],"ownership":[{"key":"for_profit","n":33,"p20":1117.9,"p50":1671.03,"p80":4272.32},{"key":"government","n":32,"p20":1229.0,"p50":1686.39,"p80":3407.0},{"key":"nonprofit","n":222,"p20":1318.2,"p50":1773.6,"p80":7215.61}],"affiliation":[{"key":"affiliated","n":229,"p20":1218.0,"p50":1726.4,"p80":6679.2},{"key":"independent","n":59,"p20":1271.0,"p50":1953.0,"p80":3819.2}]},"histogram":[{"lo":758.4,"hi":985.32,"n":12},{"lo":985.32,"hi":1280.14,"n":36},{"lo":1280.14,"hi":1663.18,"n":59},{"lo":1663.18,"hi":2160.82,"n":54},{"lo":2160.82,"hi":2807.36,"n":17},{"lo":2807.36,"hi":3647.36,"n":11},{"lo":3647.36,"hi":4738.7,"n":22},{"lo":4738.7,"hi":6156.57,"n":9},{"lo":6156.57,"hi":7998.69,"n":34},{"lo":7998.69,"hi":10392.0,"n":10}],"previous":null}},"related":[{"code_type":"CPT","code":"28190","lay_name":"Removal of a foreign object just under the skin of the foot","slug":"cpt-28190-removal-of-a-foreign-object-just-under-the-skin-of-the-foot"},{"code_type":"CPT","code":"11760","lay_name":"Repair of an injured nail bed","slug":"cpt-11760-repair-of-an-injured-nail-bed"},{"code_type":"CPT","code":"20103","lay_name":"Surgical exploration of a penetrating wound of an arm or leg","slug":"cpt-20103-surgical-exploration-of-a-penetrating-wound-of-an-arm-or-leg"},{"code_type":"CPT","code":"19020","lay_name":"Surgical opening and drainage of a deep breast abscess","slug":"cpt-19020-surgical-opening-and-drainage-of-a-deep-breast-abscess"},{"code_type":"CPT","code":"11770","lay_name":"Simple removal of a pilonidal cyst near the tailbone","slug":"cpt-11770-simple-removal-of-a-pilonidal-cyst-near-the-tailbone"},{"code_type":"CPT","code":"11771","lay_name":"Extensive removal of a pilonidal cyst near the tailbone","slug":"cpt-11771-extensive-removal-of-a-pilonidal-cyst-near-the-tailbone"},{"code_type":"CPT","code":"20102","lay_name":"Exploration of penetrating wound of abdomen, flank, or back","slug":"cpt-20102-exploration-of-penetrating-wound-of-abdomen-flank-or-back"},{"code_type":"CPT","code":"11772","lay_name":"Complicated removal of a pilonidal cyst near the tailbone","slug":"cpt-11772-complicated-removal-of-a-pilonidal-cyst-near-the-tailbone"},{"code_type":"CPT","code":"16035","lay_name":"Incision of burn scar to relieve pressure","slug":"cpt-16035-incision-of-burn-scar-to-relieve-pressure"},{"code_type":"CPT","code":"20100","lay_name":"Surgical exploration of a penetrating wound of the neck","slug":"cpt-20100-surgical-exploration-of-a-penetrating-wound-of-the-neck"},{"code_type":"CPT","code":"20101","lay_name":"Surgical exploration of a penetrating wound of the chest","slug":"cpt-20101-surgical-exploration-of-a-penetrating-wound-of-the-chest"},{"code_type":"CPT","code":"15839","lay_name":"Removal of excess skin and fat from another body area","slug":"cpt-15839-removal-of-excess-skin-and-fat-from-another-body-area"}]}