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Rhode Island rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.40 / $1,680.92 / $1,916.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.42 / $3,159.07 / $5,295.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $2,860.61 / $4,155.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.86 / $2,554.35 / $3,933.12