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Michigan rates for HCPCS 19368

Breast Reconstruction 1pedicled Tram Flap Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.94 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.54 / $2,561.94 / $2,561.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,331.04 / $12,059.43 / $16,428.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.15 / $2,262.01 / $4,880.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.43 / $2,744.11 / $4,396.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.40 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.40 / $2,377.00 / $3,377.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.60 / $1,481.95 / $2,489.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.79 / $2,751.76 / $3,642.49