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Louisiana rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,245.00 / $4,348.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.30 / $3,613.95 / $4,884.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,923.56 / $3,557.28 / $4,435.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $2,396.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,497.26 / $3,622.65 / $5,233.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $9,403.00 / $22,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.04 / $2,972.81 / $5,794.63