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Texas 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 $4,365 · 10th–90th $1,072–$12,5890%5%10th90th$4,365$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,047.13 / $3,715.35 / $10,715.19
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,698.24 / $5,623.41 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $8,317.64 / $16,218.10
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $2,398.83 / $13,182.57
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $5,370.32 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $42,657.95 / $42,657.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,348.96 / $6,456.54
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,548.82 / $5,370.32 / $11,481.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $933.25 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $6,165.95 / $11,748.98