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Arizona rates for HCPCS 19361

Breast Reconstruction W/Latissimus Dorsi Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $3,019.84 / $6,060.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.95 / $1,785.79 / $4,337.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$395.57 / $713.16 / $713.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00