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Indiana rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $2,525.03 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.42 / $2,567.19 / $3,408.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,778.00 / $48,259.71 / $70,653.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.84 / $3,585.00 / $4,906.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.23 / $3,434.45 / $5,151.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.17 / $3,066.48 / $4,415.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.42 / $3,321.36 / $5,626.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,475.00 / $14,307.00 / $19,962.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.56 / $2,870.57 / $5,551.85