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Indiana 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
$2,344.23 / $3,890.45 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $4,365.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $30,199.52 / $43,651.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,548.13 / $5,623.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,691.53 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $4,365.16 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,235.94 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $13,803.84 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $4,897.79