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Maryland rates for HCPCS 19367

Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap

Facilitymedian $2,884 · 10th–90th $2,884–$2,8840%50%100%$2,884Professionalmedian $1,778 · 10th–90th $1,413–$3,7150%10%20%10th90th$1,778$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,698.24 / $3,715.35
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,949.84 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,454.71 / $4,897.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,905.46 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,089.30 / $3,548.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,089.30 / $2,511.89