go back

Indiana rates for HCPCS 19368

Breast Reconstruction 1pedicled Tram Flap Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.54 / $2,239.90 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.54 / $1,851.62 / $2,412.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,446.00 / $21,000.00 / $28,558.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.23 / $2,605.30 / $3,595.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.23 / $2,919.84 / $4,379.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,985.49 / $2,433.19 / $3,503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.57 / $2,722.37 / $4,622.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.75 / $2,505.21 / $3,906.02