go back

Maine rates for HCPCS 19367

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.14 / $1,423.14 / $1,627.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,813.28 / $29,586.39 / $33,362.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.31 / $2,309.26 / $3,369.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.19 / $2,702.17 / $3,805.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.36 / $2,550.55 / $3,912.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.14 / $1,423.14 / $1,627.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.42 / $2,681.49 / $3,500.05