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Wisconsin rates for HCPCS 19368

Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)

Facilitymedian $12,882 · 10th–90th $5,623–$20,4170%10%10th90th$12,882Professionalmedian $3,020 · 10th–90th $1,778–$7,4130%10%10th90th$3,020$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $4,365.16 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,041.74 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $13,489.63 / $21,877.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,073.80 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,456.54 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,495.41 / $6,309.57
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,248.07 / $9,549.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,248.07 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $7,585.78 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,801.89 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,951.21
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $5,370.32 / $6,456.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,786.30 / $6,606.93
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $14,791.08 / $14,791.08
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $10,471.29 / $24,547.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $9,120.11 / $10,232.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,548.13 / $8,511.38