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West Virginia rates for HCPCS 19367

Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,691.25 / $1,691.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.78 / $1,691.25 / $2,007.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,869.81 / $2,088.60 / $2,275.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.72 / $2,022.72 / $2,022.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.13 / $1,995.13 / $1,995.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.48 / $2,528.40 / $9,770.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.67 / $2,084.92 / $2,885.97