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New York 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 $7,413 · 10th–90th $1,349–$15,8490%5%10th90th$7,413$200.0$1.0K$5.0K$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
$1,096.48 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,677.35 / $7,585.78 / $17,378.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $10,232.93 / $21,877.62
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,630.27 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $5,754.40 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,202.26 / $2,884.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,413.10 / $10,000.00
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,760.83 / $8,709.64 / $21,379.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,495.41 / $17,782.79
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $870.96 / $2,454.71