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New York 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
$2,456.83 / $5,324.00 / $11,996.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,584.00 / $9,521.00 / $22,591.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,846.49 / $3,846.49 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,066.37 / $3,066.37 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,892.76 / $1,892.76 / $1,892.76
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$302.83 / $302.83 / $302.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $4,625.10 / $8,650.00
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$20.43 / $20.43 / $20.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $3,066.37 / $23,610.00
MVP Health Care
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,892.76 / $1,892.76 / $1,892.76
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$302.83 / $302.83 / $302.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.23 / $5,547.00 / $32,490.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.46 / $2,893.46 / $9,132.48