go back

Ohio rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $5,012 · 10th–90th $1,023$11,2200%5%10th90th$5,012$100.0$500.0$2.0K$10.0K$50.0K

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
$776.25 / $4,168.69 / $11,481.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,949.84 / $5,495.41 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,754.40 / $22,908.68
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,162.28 / $7,585.78
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $6,606.93 / $13,489.63