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Alaska rates for HCPCS 19380

Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $17,617.16
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.65 / $0.65 / $0.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.08 / $3,902.48 / $5,580.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.08 / $3,902.48 / $5,580.55