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Wisconsin rates for HCPCS 19364

Breast Reconstruction W/Free Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.06 / $5,471.93 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,444.00 / $20,227.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,883.66 / $8,044.10 / $12,974.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.06 / $3,694.84 / $9,009.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.35 / $5,550.00 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.06 / $3,694.84 / $9,009.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,321.55 / $7,574.53 / $9,679.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,900.41 / $18,900.41 / $18,900.41
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$7,746.01 / $7,746.01 / $7,746.01
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,239.35 / $1,239.35 / $1,239.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $11,608.00 / $13,980.00