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Breast Reconstruction With A Tissue Expander

Iowa 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 $5,129 · 10th–90th $977$17,3780%10%20%10th90th$5,129Professionalmedian $2,818 · 10th–90th $1,148$7,7620%20%10th90th$2,818$0.5$5.0$50.0$500.0$5.0K$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
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,786.30
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$0.52
Median
$1,174.90
Typical High
$5,754.40
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,511.89
Typical High
$7,762.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$8,511.38
Typical High
$43,651.58
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$0.33
Median
$0.33
Typical High
$4,570.88
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,791.08
Typical High
$36,307.81