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Wisconsin rates for HCPCS 19361

Breast reconstruction; with latissimus dorsi flap

Facilitymedian $12,589 · 10th–90th $3,162–$21,3800%10%20%10th90th$12,589Professionalmedian $3,467 · 10th–90th $1,778–$4,7860%20%10th90th$3,467$1.0$10.0$100.0$1.0K$10.0K

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
$0.95 / $1,288.25 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $14,125.38 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,677.35 / $7,413.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $5,495.41 / $9,549.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,388.44 / $7,943.28
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $3,162.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,467.37 / $4,786.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $10,715.19 / $10,715.19
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$398.11 / $398.11 / $1,071.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45