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California 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
$2,063.27 / $7,631.00 / $19,368.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,349.12 / $9,406.12 / $20,597.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $9,644.00 / $19,252.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,847.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.66 / $4,004.78 / $9,434.92
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.28 / $942.03 / $1,271.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.96 / $1,056.80 / $1,918.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,520.93 / $15,214.55 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.75 / $1,016.50 / $1,492.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,377.00 / $26,672.00