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Tennessee 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
$1,139.00 / $3,874.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,679.90 / $5,698.00 / $22,905.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.00 / $5,467.00 / $9,419.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,520.93 / $15,214.55 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $6,073.00 / $10,111.00