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Arizona 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
$2,041.74 / $4,786.30 / $9,332.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,548.13 / $7,585.78 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,884.03 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,888.44 / $8,709.64