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Massachusetts rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.40 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.40 / $1,560.46 / $4,354.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $5,097.00 / $12,106.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.31 / $3,504.62 / $23,475.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,561.84 / $3,656.94 / $6,627.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,773.18 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.07 / $2,545.01 / $4,496.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.54 / $4,342.53 / $5,513.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,897.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.21 / $3,740.08 / $23,475.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.21 / $2,643.47 / $5,865.31