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Iowa rates for HCPCS 19369

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

Facilitymedian $5,012 · 10th–90th $2,570–$8,9130%20%10th90th$5,012Professionalmedian $2,630 · 10th–90th $1,698–$5,6230%20%10th90th$2,630$10.0$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
$3,019.95 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,187.76 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,570.88 / $5,754.40
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,388.44 / $9,549.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,981.07 / $25,703.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,786.30 / $6,918.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,370.32 / $6,165.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $4,073.80 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,128.61 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,388.44 / $5,888.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $4,265.80