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Michigan 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)

Facilitymedian $5,495 · 10th–90th $1,000–$13,4900%5%10%10th90th$5,495$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $5,370.32 / $15,135.61
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,162.28 / $6,025.60 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $4,897.79 / $12,882.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,162.28 / $6,025.60 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,943.28 / $14,791.08