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Iowa 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
$2,301.60 / $5,390.00 / $10,506.16
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,433.78 / $5,433.78 / $11,149.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.28 / $1,135.17 / $1,886.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.36 / $2,111.44 / $15,214.55
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.33 / $0.33 / $0.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.00 / $2,307.46 / $4,945.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,523.00 / $11,869.99