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Washington, DC rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $3,890 · 10th–90th $1,380–$7,0790%5%10%10th90th$3,890Professionalmedian $1,259 · 10th–90th $550–$1,2880%50%10th90th$1,259$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $3,890.45 / $6,456.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,995.26 / $3,715.35 / $7,079.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,258.93 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $14,791.08 / $36,307.81