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North Dakota rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.59 / $1,769.59 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.92 / $1,769.59 / $1,769.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,440.72 / $3,733.64 / $4,475.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.79 / $4,131.75 / $5,335.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.59 / $2,479.77 / $5,308.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.61 / $3,333.34 / $4,577.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.70 / $3,819.31 / $4,577.57