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Delaware rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.46 / $2,729.25 / $2,729.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.66 / $2,809.68 / $4,924.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,170.00 / $5,170.00 / $5,170.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.44 / $2,815.24 / $6,290.85