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Missouri 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
$2,415.88 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,856.00 / $19,316.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,488.00 / $13,882.00 / $15,775.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $3,796.00 / $7,923.64
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$4,286.35 / $7,746.01 / $7,746.01
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$685.82 / $1,239.35 / $1,239.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00