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Ohio 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
$2,359.81 / $8,399.00 / $11,581.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,752.30 / $4,752.30 / $4,752.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,920.00 / $15,493.10 / $29,406.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,566.59 / $3,079.91 / $4,812.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,356.00 / $6,392.00 / $10,023.00