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Kentucky rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,792.41 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.20 / $1,535.78 / $1,764.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $10,099.00 / $28,168.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.02 / $1,810.66 / $2,455.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.46 / $2,281.23 / $2,631.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.80 / $2,281.23 / $3,666.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,842.75 / $1,995.13 / $1,995.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.51 / $2,436.11 / $3,778.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.63 / $2,308.17 / $3,297.77