go back

Maryland rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.34 / $1,789.83 / $9,332.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.30 / $1,971.30 / $2,253.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.98 / $2,567.27 / $5,569.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.23 / $2,462.14 / $3,977.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.67 / $2,052.48 / $3,888.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.28 / $2,128.91 / $2,620.90