| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,370.32 | $5,370.32 | $5,370.32 | |
United
| Facility | $5,128.61 | $5,623.41 | $18,197.01 |
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 | $5,370.32 | $5,370.32 | $5,370.32 | |
United
| Facility | $5,128.61 | $5,623.41 | $18,197.01 |