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Minnesota rates for HCPCS 19367

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.92 / $1,677.92 / $1,677.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.92 / $1,769.59 / $2,649.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,953.81 / $9,817.99 / $18,050.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,983.13 / $4,598.74 / $6,452.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,216.37 / $5,979.34 / $14,384.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,438.43 / $5,772.70 / $8,249.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,427.61 / $5,466.55 / $11,326.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,027.21 / $5,180.46 / $6,865.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.79 / $3,027.19 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.48 / $4,577.57 / $7,174.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,310.71 / $4,577.57 / $7,058.04