go back

Missouri 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
$1,730.97 / $4,908.00 / $13,177.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.31 / $1,730.97 / $1,939.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,856.00 / $19,316.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.48 / $2,385.57 / $3,591.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,488.00 / $13,882.00 / $15,775.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.69 / $2,950.19 / $5,037.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.97 / $2,982.21 / $6,440.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.20 / $2,917.98 / $25,823.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.12 / $2,652.35 / $3,883.83