| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $5,888.44 | $6,025.60 | |
Kaiser Permanente
| Professional | $831.76 | $891.25 | $1,122.02 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $5,888.44 | $6,025.60 | |
Kaiser Permanente
| Professional | $831.76 | $891.25 | $1,122.02 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |