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New Mexico rates for HCPCS 19367

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

Facilitymedian $2,570 · 10th–90th $2,042–$7,7620%20%10th90th$2,570Professionalmedian $1,820 · 10th–90th $1,445–$3,3880%20%10th90th$1,820$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,570.40 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,737.80 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,137.96 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,511.89 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,454.71 / $4,365.16
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,570.40 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $7,585.78 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,630.27 / $4,168.69