go back

South Carolina rates for HCPCS 19369

Breast Reconstruction Bipedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,188.41 / $5,492.98 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.18 / $2,188.41 / $3,155.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,160.75 / $8,160.75 / $8,160.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.52 / $2,612.00 / $4,592.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.58 / $2,748.35 / $5,137.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.27 / $2,530.33 / $4,483.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.16 / $1,485.31 / $2,721.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.69 / $2,626.43 / $5,077.03