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Arkansas 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
$852.74 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,849.50 / $3,342.00 / $12,361.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,044.39 / $6,044.39 / $7,253.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,238.18 / $4,238.18 / $4,238.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00