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Connecticut 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
$3,943.00 / $8,031.00 / $13,387.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,166.57 / $9,294.29 / $22,703.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.00 / $14,635.00 / $18,294.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00