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Louisiana rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.75 / $2,033.26 / $2,414.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,055.03 / $8,972.70 / $12,586.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.32 / $2,386.16 / $2,800.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.80 / $2,103.88 / $3,258.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.82 / $2,181.37 / $3,735.13