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Breast Reconstruction With A Tissue Expander

Indiana 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 $10,233 · 10th–90th $1,445$44,6680%5%10th90th$10,233$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
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,897.79
Typical High
$19,054.61
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,630.78
Median
$5,495.41
Typical High
$23,988.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$35,481.34
Typical High
$52,480.75
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$12,882.50
Typical High
$17,782.79