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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
$1,412.54 / $1,698.24 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $25,118.86 / $33,113.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,398.83 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,570.40 / $3,890.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,344.23 / $3,467.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $3,467.37