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Louisiana 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
$830.23 / $2,167.00 / $5,260.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,576.50 / $8,935.01 / $18,636.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.52 / $9,087.21 / $12,849.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,355.81 / $5,355.81 / $5,355.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00