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Montana 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
$2,119.09 / $11,503.80 / $11,503.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,407.71 / $3,407.71 / $3,407.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.44 / $3,407.71 / $3,679.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.29 / $3,829.80 / $4,133.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.19 / $3,116.11 / $4,494.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,004.92 / $3,748.85 / $5,988.45