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New Jersey 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 $8,128 · 10th–90th $4,365–$13,8040%10%10th90th$8,128$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
$3,890.45 / $7,943.28 / $11,748.98
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,128.61 / $8,511.38 / $14,454.40
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $20,892.96 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $8,709.64 / $15,488.17