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Pennsylvania 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
$1,020.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.93 / $1,972.71 / $2,561.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.35 / $3,061.67 / $4,111.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.83 / $2,813.60 / $4,658.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.46 / $3,426.68 / $3,426.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.93 / $1,982.28 / $3,764.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $2,915.10 / $5,482.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,101.71 / $2,857.63 / $4,658.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.26 / $2,118.26 / $2,455.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.06 / $2,133.10 / $2,455.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.31 / $2,670.12 / $4,717.67