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Wisconsin rates for HCPCS 19368

Breast Reconstruction 1pedicled Tram Flap Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.02 / $4,374.56 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.57 / $1,878.08 / $7,442.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,444.00 / $20,227.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.33 / $5,358.60 / $9,994.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,500.44 / $6,427.70 / $10,367.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,888.49 / $5,427.37 / $8,823.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.02 / $2,733.89 / $4,725.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.15 / $4,754.12 / $14,978.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.92 / $5,715.74 / $10,320.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.95 / $1,314.10 / $4,137.91
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.02 / $2,733.89 / $4,725.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,247.10 / $6,047.51 / $7,725.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,086.58 / $15,086.58 / $15,086.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,083.88 / $10,519.70 / $24,606.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,951.85 / $3,951.85 / $3,951.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,993.17 / $9,025.11 / $9,025.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.13 / $5,715.74 / $8,969.10