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New Hampshire 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
$2,398.83 / $6,456.54 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,548.82 / $5,011.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $19,952.62 / $31,622.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $3,090.30 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $3,715.35 / $5,495.41
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,818.38 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,019.95 / $4,897.79