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Washington, DC rates for HCPCS 19364

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

Facilitymedian $5,495 · 10th–90th $2,570$10,7150%10%10th90th$5,495Professionalmedian $5,623 · 10th–90th $2,455$6,1660%50%10th90th$5,623$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,495.41 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,623.41 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,073.80 / $28,183.83