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Maine 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
$0.90 / $623.34 / $7,158.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.40 / $0.40 / $11,021.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $7,158.29
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.40 / $0.40 / $11,021.83