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Minnesota 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
$772.64 / $4,242.51 / $6,781.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,930.05 / $6,152.00 / $17,207.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,568.28 / $11,118.44 / $23,174.60
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,869.44 / $22,560.19 / $39,557.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,948.16 / $2,762.73 / $6,646.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.71 / $2,525.80 / $5,233.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.78 / $1,626.22 / $9,793.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.57 / $4,290.41 / $6,114.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00