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Pennsylvania rates for HCPCS 19357

Tissue Expander Placement Breast Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.66 / $5,958.00 / $10,510.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,572.74 / $9,613.50 / $66,000.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,970.81 / $5,438.28 / $104,308.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $36,032.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,061.25 / $33,332.85 / $55,818.79
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,190.06 / $46,197.61 / $160,496.37
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,653.13 / $5,538.98 / $32,295.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,868.00 / $10,510.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,572.74 / $9,686.15 / $63,522.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.90 / $1,128.90 / $1,644.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00