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Wisconsin rates for HCPCS 19364

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

Facilitymedian $12,882 · 10th–90th $5,623–$20,4170%10%10th90th$12,882Professionalmedian $6,026 · 10th–90th $3,090–$8,3180%10%20%10th90th$6,026$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,238.72 / $5,495.41 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $13,489.63 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $8,128.31 / $12,882.50
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,495.41 / $9,549.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $7,585.78 / $15,848.93
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,025.60 / $8,317.64
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $18,620.87 / $18,620.87
Quartz
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $11,481.54
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$691.83 / $691.83 / $1,862.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,022.64 / $14,454.40