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Oregon rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $4,322.71 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.80 / $2,452.46 / $9,332.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.07 / $3,852.61 / $5,210.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,828.22 / $4,068.01 / $4,580.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.46 / $3,757.97 / $5,272.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,737.68 / $3,096.00 / $5,674.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,496.14 / $3,366.70 / $3,550.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.46 / $3,985.74 / $5,046.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,138.73 / $4,164.00 / $5,220.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,128.18 / $9,128.18 / $9,128.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,251.05 / $4,347.83 / $5,558.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.50 / $4,085.51 / $5,623.78