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Question from CB: Have any of your patients experienced trouble from their insurance company over which kind of tissue reconstruction is done, such as not wanting to pay for a procedure that is longer, and I assume, more expensive?
Answers - Maurice Nahabedian That has been an issue for a couple of my patients. Most insurance companies are willing to pay for whatever type of reconstruction is desired. However, there have been some instances where coverage is denied for these microvascular procedures on the grounds that there are surgeons within their particular plan that may be capable of providing the conventional reconstructive options, such as the pedicled TRAM or implants.

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