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Idaho 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
$4,415.00 / $4,500.00 / $8,439.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,175.44 / $4,368.87 / $5,321.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00