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Utah rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.63 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.63 / $1,918.63 / $2,680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,124.21 / $2,561.10 / $3,826.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $1,031.38 / $1,638.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,305.86 / $3,131.87 / $3,795.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.65 / $1,974.29 / $3,821.06