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Louisiana 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
$933.25 / $3,467.37 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,884.03 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,548.13 / $4,466.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,630.78 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $10,000.00 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $5,011.87