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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,235.94 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $12,589.25 / $30,199.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,128.61 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,801.89 / $4,786.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,168.69 / $6,606.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,570.88 / $6,165.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $23,988.33 / $31,622.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $5,248.07 / $5,754.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,454.71 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $12,022.64 / $66,069.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,801.89 / $5,370.32