go back

New Hampshire rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,400.14 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.40 / $1,627.92 / $6,400.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $18,406.11 / $32,089.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.31 / $2,933.60 / $4,349.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,345.80 / $3,991.04 / $6,543.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.36 / $3,928.64 / $6,523.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,425.16 / $3,303.78 / $6,418.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.25 / $1,686.30 / $2,478.86