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Washington, DC rates for HCPCS 19364

Breast Reconstruction W/Free Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $5,545.00 / $7,007.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,994.50 / $9,994.50 / $9,994.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,964.53 / $6,149.63 / $6,149.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.35 / $4,165.00 / $26,408.00