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Nationwide rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $5,623 · 10th–90th $955$15,1360%10%20%10th90th$5,623Professionalmedian $851 · 10th–90th $525$1,8200%20%10th90th$851$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$794.33 / $4,168.69 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,778.28 / $6,309.57 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $10,232.93 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,995.26 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,918.31 / $16,595.87