go back

Washington, DC rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,789.83 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.83 / $1,789.83 / $1,789.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.30 / $1,978.19 / $2,203.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.61 / $2,541.17 / $5,569.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,941.19 / $4,021.07 / $4,021.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.66 / $2,443.44 / $4,646.67