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Breast Reconstruction With A Tissue Expander

Massachusetts 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 $3,715 · 10th–90th $1,413$8,9130%10%20%10th90th$3,715$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$2,137.96
Median
$3,630.78
Typical High
$6,918.31
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,412.54
Median
$4,265.80
Typical High
$10,000.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,244.36
Typical High
$25,703.96
AllWays Health Partners
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$3,890.45
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,918.31
Typical High
$15,488.17
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,128.61
Typical High
$29,512.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,244.36
Typical High
$25,703.96
Mass General Brigham
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,165.95
Typical High
$20,892.96