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Texas rates for HCPCS 19364

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

Facilitymedian $3,981 · 10th–90th $1,202–$12,8820%5%10%10th90th$3,981$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,365.16 / $4,466.84 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,786.30 / $15,848.93
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $16,982.44
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $10,471.29
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $3,467.37 / $6,918.31
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $13,803.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,388.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $6,025.60 / $11,481.54