| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $3,981.07 | $6,165.95 | |
Aetna
| Facility | 50 | $1,513.56 | $1,513.56 | $1,513.56 |
United
| Facility | $3,235.94 | $7,413.10 | $13,803.84 |
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 | $2,344.23 | $3,981.07 | $6,165.95 | |
Aetna
| Facility | 50 | $1,513.56 | $1,513.56 | $1,513.56 |
United
| Facility | $3,235.94 | $7,413.10 | $13,803.84 |