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Iowa rates for HCPCS 19364

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

Facilitymedian $5,248 · 10th–90th $2,570–$7,9430%10%10th90th$5,248Professionalmedian $6,166 · 10th–90th $2,692–$27,5420%10%10th90th$6,166$200.0$500.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,248.07 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,570.88 / $27,542.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,888.44 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,456.54 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,128.61 / $11,748.98