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Breast Reconstruction With A Tissue Expander

Oregon 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 $3,890 · 10th–90th $1,950$24,5470%10%10th90th$3,890Professionalmedian $2,291 · 10th–90th $1,738$3,0200%20%40%10th90th$2,291$1.0K$5.0K$20.0K$100.0K$500.0K

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
$2,187.76
Median
$7,943.28
Typical High
$21,379.62
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,890.45
Median
$20,417.38
Typical High
$39,810.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$3,019.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,344.23
Typical High
$13,803.84
Moda Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,570.88
Median
$20,417.38
Typical High
$39,810.72
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$2,884.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,041.74
Typical High
$3,715.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$54,954.09
Typical High
$72,443.60
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$56,234.13
Median
$83,176.38
Typical High
$107,151.93
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$25,118.86
Typical High
$60,255.96