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Ohio 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
Facility
Modifier
Low / Median / High Price
$1,882.13 / $7,179.12 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.13 / $1,882.13 / $3,281.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,920.00 / $15,493.10 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.50 / $2,326.14 / $3,766.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.48 / $2,456.98 / $3,839.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.23 / $2,252.23 / $3,992.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.34 / $2,866.47 / $4,381.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.48 / $3,065.80 / $4,293.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.95 / $1,648.57 / $2,751.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.13 / $2,751.76 / $4,526.66