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Oklahoma 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
$1,087.19 / $4,634.00 / $14,100.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,679.90 / $7,071.00 / $7,315.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,091.22 / $11,208.10 / $17,846.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.06 / $1,303.22 / $10,198.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95