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Kansas 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
$1,700.00 / $6,560.00 / $12,969.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,625.00 / $2,785.50 / $6,469.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.36 / $3,245.13 / $6,817.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,517.00 / $12,517.00 / $12,517.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.08 / $1,206.91 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,744.14 / $8,744.14 / $8,744.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00