go back

Pennsylvania 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 $6,607 · 10th–90th $1,479–$11,7490%10%10th90th$6,607$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $6,165.95 / $10,715.19
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,011.87 / $7,585.78 / $14,454.40
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77,624.71 / $77,624.71 / $77,624.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $14,454.40 / $33,884.42
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,011.87 / $14,454.40 / $23,988.33
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,495.41 / $38,904.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,981.07 / $9,549.93
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,912.51 / $16,982.44 / $38,018.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,754.40 / $21,379.62