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Pennsylvania rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $5,248 · 10th–90th $832$15,4880%5%10th90th$5,248$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
$660.69 / $4,073.80 / $9,120.11
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,235.94 / $7,244.36 / $19,054.61
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $29,512.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $14,454.40 / $20,417.38
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,890.45 / $16,982.44 / $38,904.51
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,073.80 / $30,199.52
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $3,235.94 / $8,317.64
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$15,848.93 / $19,054.61 / $44,668.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,754.40 / $23,442.29