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Alaska rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,113.17 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,627.07 / $8,627.07 / $11,178.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,921.00 / $5,921.00 / $5,921.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.57 / $8,627.07 / $12,336.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,324.72 / $11,230.80 / $14,066.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,685.00 / $7,754.60 / $11,352.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.57 / $8,627.07 / $12,336.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.65 / $7,725.00 / $11,448.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,736.80 / $4,736.80 / $10,940.27