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Massachusetts 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
$812.83 / $4,168.69 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,818.38 / $5,011.87 / $10,000.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $6,165.95 / $15,135.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,621.81 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,148.15 / $6,309.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $6,309.57 / $15,135.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84