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Alabama 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
$763.58 / $1,678.00 / $2,834.11
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,910.59 / $4,352.39 / $7,374.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,311.29 / $5,231.95 / $7,038.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00