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Idaho rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,713.51 / $3,458.62 / $5,554.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,932.82 / $4,147.72 / $4,803.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.17 / $4,750.22 / $6,387.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,417.58 / $4,819.18 / $6,341.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,769.89 / $4,742.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,946.55 / $23,802.20 / $39,273.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,656.84 / $5,478.63 / $6,341.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $65,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,632.27 / $3,848.34 / $5,567.81