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California rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $8,913 · 10th–90th $3,236$17,7830%5%10%10th90th$8,913Professionalmedian $661 · 10th–90th $479$1,5850%10%20%10th90th$661$50.0$200.0$1.0K$5.0K$20.0K

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
$2,630.27 / $7,079.46 / $18,620.87
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,290.87 / $7,585.78 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,715.19 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $5,754.40 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $602.56 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $1,584.89
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $45,708.82 / $45,708.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,022.64 / $25,118.86