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Maine rates for HCPCS 19369

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.33 / $1,630.33 / $1,855.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,813.28 / $29,586.39 / $33,362.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,181.14 / $2,621.89 / $3,829.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,427.98 / $3,095.57 / $4,334.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.46 / $2,895.83 / $4,442.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.33 / $1,630.33 / $1,855.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.42 / $2,869.50 / $3,973.59