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South Carolina rates for HCPCS 19364

Breast Reconstruction W/Free Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,952.17 / $8,960.00 / $16,467.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $815.00 / $815.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.84 / $3,395.00 / $6,040.35
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,116.00 / $5,168.54 / $7,548.14
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$548.79 / $689.14 / $1,006.42
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$384.16 / $482.40 / $704.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.23 / $15,713.00 / $23,485.00