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Massachusetts rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,512.31 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.36 / $2,676.92 / $4,274.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $6,734.77 / $36,845.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,647.95 / $4,475.62 / $20,642.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.38 / $4,208.68 / $7,845.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,777.67 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.55 / $3,760.63 / $5,114.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,390.26 / $6,414.71 / $8,443.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,238.00 / $20,362.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,864.37 / $4,973.26 / $20,642.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $13,737.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,865.25 / $3,978.00 / $7,860.99