go back

Ohio 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
$1,748.47 / $7,155.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.47 / $1,748.47 / $3,047.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,920.00 / $15,493.10 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.03 / $2,211.05 / $3,548.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.02 / $2,282.42 / $3,566.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.21 / $2,092.21 / $3,708.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.66 / $2,662.83 / $4,070.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.02 / $2,778.15 / $3,987.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.47 / $1,554.02 / $2,592.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.45 / $2,620.33 / $4,202.81