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Maine rates for HCPCS 19368

Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.42 / $1,755.42 / $2,009.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,813.28 / $29,586.39 / $33,362.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.89 / $2,822.68 / $4,120.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.31 / $3,333.07 / $4,664.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.54 / $3,116.16 / $4,780.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.42 / $1,755.42 / $2,009.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.88 / $3,215.09 / $4,780.35