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Washington, DC 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
$1,698.24 / $2,818.38 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,818.38 / $6,760.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $15,488.17 / $31,622.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,890.45 / $7,585.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $5,623.41 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $25,703.96 / $87,096.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,630.78 / $7,585.78