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Breast Reconstruction With A Tissue Expander

Nebraska 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 $7,943 · 10th–90th $2,291$15,1360%20%10th90th$7,943Professionalmedian $3,388 · 10th–90th $2,570$3,5480%20%10th90th$3,388$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$7,943.28
Typical High
$17,782.79
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,174.90
Median
$5,623.41
Typical High
$11,220.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$12,589.25
Typical High
$23,988.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,235.94
Typical High
$28,840.32
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,471.29
Median
$26,302.68
Typical High
$61,659.50
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
$3,388.44
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,772.37
Typical High
$20,892.96