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Missouri rates for HCPCS 19361

Breast reconstruction; with latissimus dorsi flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,362.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,856.00 / $19,316.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,488.00 / $13,882.00 / $15,775.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.85 / $2,378.85 / $8,000.00
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
$1,185.00 / $3,233.00 / $13,528.00