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Arizona rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.76 / $2,480.30 / $14,309.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.00 / $3,241.14 / $4,051.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,285.82 / $3,189.97 / $5,473.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,554.71 / $3,442.84 / $15,470.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.12 / $2,863.45 / $20,642.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,560.00 / $10,316.00 / $16,841.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.10 / $2,713.19 / $5,567.81