go back

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)

Facilitymedian $7,244 · 10th–90th $1,288–$23,4420%5%10%10th90th$7,244Professionalmedian $1,047 · 10th–90th $1,047–$4,1690%20%40%90th$1,047$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $4,365.16 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,162.28 / $5,128.61 / $25,118.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $17,782.79 / $33,113.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $11,748.98 / $18,620.87