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Louisiana 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
$860.00 / $2,726.00 / $5,260.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,000.00 / $4,000.00 / $4,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,055.03 / $7,756.95 / $11,542.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.00 / $3,533.00 / $10,655.00