go back

New Mexico 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
$1,000.00 / $7,838.38 / $8,644.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,246.55 / $14,177.52 / $22,731.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.34 / $897.71 / $1,081.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00