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Oregon rates for HCPCS 19364

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

Facilitymedian $5,370 · 10th–90th $3,467–$11,7490%20%10th90th$5,370Professionalmedian $5,012 · 10th–90th $3,802–$6,6070%20%10th90th$5,012$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,918.31 / $15,848.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,011.87 / $6,606.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,365.16 / $7,943.28
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,248.07 / $5,495.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,801.89 / $6,918.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,011.87 / $22,908.68