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Illinois rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,636.00 / $5,769.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.69 / $2,812.98 / $5,215.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,167.31 / $36,721.51 / $73,534.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,668.76 / $3,961.96 / $5,525.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,103.66 / $4,581.26 / $9,409.90
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,179.16 / $3,503.32 / $3,895.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,404.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $7,842.00 / $21,651.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,439.98 / $3,358.25 / $6,190.43