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North Dakota 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
$776.55 / $4,242.51 / $6,213.23
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,930.05 / $1,930.05 / $17,207.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.55 / $991.57 / $6,829.00