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Missouri rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.38 / $4,908.00 / $13,177.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.24 / $1,519.97 / $1,703.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,856.00 / $19,316.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.41 / $2,085.88 / $3,116.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,488.00 / $13,882.00 / $15,775.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.35 / $2,597.92 / $4,391.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.97 / $2,702.42 / $5,897.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.36 / $2,542.58 / $23,475.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.82 / $2,304.73 / $3,467.18