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Tennessee 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
$1,258.93 / $2,818.38 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,454.71 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $18,620.87 / $18,620.87
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,754.40 / $10,232.93