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Idaho rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.38 / $2,452.46 / $2,680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,445.17 / $2,993.23 / $3,341.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.76 / $2,840.80 / $3,460.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,854.32 / $3,027.31 / $3,459.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,764.13 / $3,080.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,710.44 / $2,710.44 / $3,288.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.61 / $2,477.10 / $3,656.50