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South Carolina rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.13 / $4,818.77 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.13 / $1,921.13 / $2,766.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.45 / $3,950.89 / $4,622.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.56 / $2,400.00 / $4,268.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.84 / $2,415.87 / $4,515.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.51 / $2,212.94 / $3,922.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.95 / $1,304.53 / $2,406.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.92 / $2,153.31 / $4,276.67