go back

Montana rates for HCPCS 19364

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,271.07 / $4,271.07 / $4,271.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.02 / $4,783.35 / $5,152.35