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Indiana rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.91 / $1,817.93 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.91 / $1,507.90 / $1,969.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,446.00 / $21,000.00 / $28,558.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.92 / $2,266.77 / $3,128.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.49 / $2,389.76 / $3,584.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.83 / $2,071.12 / $2,867.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.61 / $2,226.14 / $3,958.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.45 / $2,032.84 / $3,149.42