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Oregon 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 $2,042 · 10th–90th $1,122–$23,4420%10%10th90th$2,042Professionalmedian $1,549 · 10th–90th $1,202–$2,0420%20%10th90th$1,549$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $7,943.28 / $15,848.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,897.79 / $20,417.38 / $25,118.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,548.82 / $2,041.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,412.54 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $19,054.61 / $23,442.29
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,513.56 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,122.02 / $1,905.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $20,417.38 / $25,703.96
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$22,387.21 / $30,902.95 / $38,018.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $19,054.61 / $28,840.32