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Iowa rates for HCPCS 11960

Insertion of tissue expander(s) for other than breast, including subsequent expansion

Facilitymedian $3,388 · 10th–90th $1,202$8,5110%10%10th90th$3,388Professionalmedian $1,622 · 10th–90th $933$2,7540%10%20%10th90th$1,622$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,202.26 / $3,090.30 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,288.25 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $3,090.30 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,511.89 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,762.47 / $10,232.93