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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.26 / $1,748.47 / $10,685.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.79 / $1,654.38 / $2,067.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.35 / $2,400.25 / $4,428.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.87 / $2,600.44 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.31 / $2,301.38 / $25,823.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.92 / $2,151.79 / $3,949.50