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Breast Reconstruction With A Tissue Expander

Washington, DC rates for HCPCS 19357

Rebuilds a breast by placing a temporary balloon-like expander under the skin or chest muscle. Over the following weeks or months salt water is added through a small port to stretch the tissue gradually, making room for a permanent implant later. It may be done at the time of the original breast surgery or as a separate operation afterwards, and the later exchange for a permanent implant is charged separately.

Facilitymedian $5,370 · 10th–90th $1,698$9,5500%10%10th90th$5,370Professionalmedian $2,692 · 10th–90th $1,148$3,0900%20%40%10th90th$2,692$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,073.80
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$8,317.64
Typical High
$10,000.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,691.53
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$19,054.61
Typical High
$69,183.10