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Washington, DC rates for HCPCS 19364

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,495.41 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $5,623.41 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $10,232.93 / $33,884.42