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Colorado 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
$1,259.00 / $4,326.00 / $15,785.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,143.67 / $9,329.00 / $26,359.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,948.00 / $14,105.00 / $28,800.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.95 / $1,046.24 / $1,392.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.00 / $1,239.39 / $1,593.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,128.00 / $11,924.00 / $19,737.00