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Iowa 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
$4,277.00 / $6,066.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.01 / $4,147.55 / $4,274.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,529.00 / $6,036.47 / $7,545.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,527.69 / $4,042.29 / $7,221.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.37 / $5,875.20 / $10,463.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,737.60 / $5,476.88 / $20,642.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,529.00 / $5,733.85 / $8,153.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,183.93 / $5,489.42 / $8,153.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,542.00 / $12,871.00 / $16,293.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,727.04 / $4,158.97 / $7,746.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,196.32 / $5,311.80 / $6,249.10