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Nationwide rates for HCPCS 19364

Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)

Facilitymedian $6,918 · 10th–90th $2,344–$17,7830%5%10%10th90th$6,918Professionalmedian $3,802 · 10th–90th $2,138–$9,3330%10%10th90th$3,802$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$1,995.26 / $5,370.32 / $12,882.50
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,365.16 / $8,912.51 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $11,481.54 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $7,762.47 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,165.95 / $14,791.08

See more rates by state

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