go back

Delaware 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
$706.27 / $6,907.00 / $12,593.92
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,483.34 / $13,483.34 / $13,483.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,142.53 / $7,544.08 / $8,169.55
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,271.90 / $5,271.90 / $10,233.17