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Iowa rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $4,169 · 10th–90th $851–$13,8040%5%10th90th$4,169Professionalmedian $955 · 10th–90th $513–$1,8620%5%10%10th90th$955$200.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $3,548.13 / $6,760.83
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $13,803.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $812.83 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $4,168.69 / $18,197.01
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,380.38 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,220.18 / $19,054.61