go back

South Carolina 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
$2,071.86 / $6,774.95 / $12,994.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,120.92 / $8,027.02 / $16,066.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.25 / $7,942.74 / $16,407.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $3,413.02 / $4,385.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $946.96 / $1,697.49
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,065.00 / $1,412.82 / $2,433.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00