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West Virginia 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
$1,400.00 / $2,600.00 / $2,610.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,870.10 / $3,214.68 / $3,502.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,066.37 / $3,066.37 / $3,066.37
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,892.76 / $1,892.76 / $1,892.76
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$302.83 / $302.83 / $302.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.11 / $2,080.11 / $2,080.11