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Washington, DC 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
$1,097.50 / $5,226.00 / $8,983.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,954.50 / $6,996.00 / $9,994.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.19 / $1,855.31 / $1,855.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00