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Arizona rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.78 / $1,537.08 / $9,332.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.09 / $1,457.46 / $1,821.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.32 / $2,116.82 / $3,874.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.10 / $2,290.25 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.49 / $2,008.49 / $23,475.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.64 / $1,910.04 / $3,408.28