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Alaska rates for HCPCS 19369

Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,838.28 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,850.51 / $9,850.51 / $12,778.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,803.88 / $6,803.88 / $6,803.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.89 / $9,850.51 / $14,086.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,910.20 / $12,751.20 / $16,047.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,590.00 / $8,804.40 / $12,938.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.89 / $9,850.51 / $14,086.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.30 / $8,851.50 / $13,085.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.89 / $8,211.49 / $13,607.75