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Pennsylvania 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
$1,426.00 / $4,761.00 / $8,933.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,929.45 / $6,163.40 / $9,617.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,867.97 / $4,867.97 / $7,119.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,342.00 / $10,247.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,929.45 / $6,163.40 / $9,617.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,655.26 / $2,655.26 / $3,048.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.11 / $2,967.00 / $6,885.00