| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,354.69 | $3,955.04 | $6,194.48 | |
United
| Facility | $3,599.00 | $7,228.00 | $12,680.00 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,354.69 | $3,955.04 | $6,194.48 | |
United
| Facility | $3,599.00 | $7,228.00 | $12,680.00 |