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Pennsylvania rates for HCPCS 19357

Tissue expander placement in breast reconstruction, including subsequent expansion(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $6,309.57 / $10,715.19
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,548.13 / $8,912.51 / $57,543.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $37,153.52 / $77,624.71
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,168.69 / $45,708.82 / $117,489.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $5,754.40 / $10,715.19
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,548.13 / $9,549.93 / $61,659.50
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,398.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $691.83 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $42,657.95