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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.63 / $7,017.50 / $14,113.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,983.78 / $7,608.32 / $17,422.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,583.00 / $9,198.00 / $21,481.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.58 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.23 / $913.23 / $7,289.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,213.00 / $2,141.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,806.90 / $7,023.11 / $7,832.78
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,382.24 / $8,675.71 / $10,534.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $913.23 / $23,610.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $18,320.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.53 / $865.53 / $2,473.87