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California rates for HCPCS 19369

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

Facilitymedian $11,220 · 10th–90th $4,266$18,6210%10%10th90th$11,220Professionalmedian $2,399 · 10th–90th $1,738$7,7620%20%10th90th$2,399$50.0$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$3,981.07 / $10,471.29 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,995.26 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $11,481.54 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,311.31 / $6,456.54
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $6,918.31 / $13,182.57
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,884.03 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,570.40 / $5,623.41
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,949.84 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,187.76 / $4,073.80
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $12,589.25
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $26,915.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,630.27 / $4,466.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,511.89 / $5,370.32
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,398.83 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $11,748.98 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,344.23 / $6,025.60