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Maryland 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
$0.99 / $2,047.06 / $5,737.99
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.99 / $3,727.02 / $7,426.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,828.59 / $2,828.59 / $2,828.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.56 / $1,097.22 / $1,822.52