go back

Michigan 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
$2,379.81 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.80 / $2,379.81 / $2,379.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,504.58 / $11,094.71 / $15,114.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.75 / $2,267.81 / $4,762.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.99 / $2,547.78 / $4,084.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.96 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.96 / $2,205.42 / $3,137.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.32 / $1,384.17 / $2,337.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.13 / $2,474.30 / $3,349.75