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Rhode Island rates for HCPCS 19369

Breast Reconstruction Bipedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.47 / $1,916.55 / $2,186.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.66 / $3,584.30 / $6,042.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $3,238.86 / $4,726.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.51 / $2,926.03 / $4,233.74