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Oklahoma rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.75 / $1,790.65 / $1,790.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,091.22 / $11,208.10 / $17,846.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.95 / $2,285.69 / $2,963.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.73 / $2,367.73 / $2,762.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.00 / $2,642.33 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.58 / $2,285.46 / $23,475.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.65 / $2,044.47 / $2,880.85