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Montana 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
$1,968.57 / $10,685.60 / $10,685.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,166.89 / $3,166.89 / $3,166.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.09 / $3,166.89 / $3,414.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.00 / $3,528.20 / $3,815.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.00 / $2,895.30 / $4,176.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,773.46 / $3,473.91 / $5,564.78