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Ohio rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.78 / $7,155.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.78 / $1,535.78 / $2,900.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,920.00 / $15,493.10 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.02 / $2,012.18 / $3,195.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.46 / $2,006.95 / $3,135.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.71 / $1,841.18 / $3,261.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.11 / $2,341.44 / $3,579.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.46 / $2,458.03 / $3,488.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.14 / $1,375.69 / $2,303.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.78 / $2,303.67 / $3,938.91