go back

Utah rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $7,244 · 10th–90th $3,388–$17,3780%10%10th90th$7,244Professionalmedian $776 · 10th–90th $479–$2,0890%20%10th90th$776$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
$3,162.28 / $6,918.31 / $13,803.84
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,715.35 / $9,332.54 / $17,378.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $14,125.38 / $21,379.62
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$15,488.17 / $20,892.96 / $32,359.37
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $14,791.08