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Alaska rates for HCPCS 20802

Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,899.44 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.64 / $13,397.75 / $13,397.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,784.32 / $9,143.74 / $11,647.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,581.94 / $13,397.75 / $18,756.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,693.30 / $8,031.96 / $16,305.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,961.25 / $13,161.30 / $16,440.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,581.94 / $13,397.75 / $18,756.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,090.49 / $12,122.25 / $17,527.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,390.26 / $12,537.40 / $16,093.00