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Washington rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $11,220 · 10th–90th $955–$31,6230%5%10th90th$11,220$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
$794.33 / $9,120.11 / $28,183.83
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $13,489.63 / $38,904.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $38,904.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$20,417.38 / $28,840.32 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,122.02 / $8,317.64
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,318.26 / $19,952.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$12,022.64 / $29,512.09 / $52,480.75
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,096.48 / $1,174.90
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $776.25 / $2,511.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $38,904.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$19,498.45 / $29,512.09 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $21,379.62 / $41,686.94