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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,577.54 / $2,797.42 / $3,056.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,795.14 / $3,421.63 / $3,820.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,351.94 / $3,239.77 / $3,937.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,240.73 / $3,442.79 / $3,928.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,780.25 / $3,497.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,080.76 / $3,080.76 / $3,743.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.65 / $2,705.12 / $3,873.23