go back

Indiana rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.44 / $2,318.00 / $7,954.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,758.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.30 / $672.45 / $1,017.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.75 / $1,610.75 / $1,610.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00