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Indiana 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
$1,662.80 / $2,078.02 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.80 / $1,719.84 / $2,241.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,446.00 / $21,000.00 / $28,558.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.44 / $2,469.30 / $3,407.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,989.77 / $2,713.32 / $4,069.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,899.32 / $2,351.54 / $3,255.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.13 / $2,548.98 / $4,306.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.25 / $2,408.65 / $3,593.55