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Oklahoma rates for HCPCS 19369

Breast Reconstruction Bipedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.60 / $2,043.88 / $2,043.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,072.75 / $2,716.33 / $3,158.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.93 / $3,016.39 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.60 / $2,605.81 / $25,823.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.72 / $2,296.26 / $3,258.36