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Maryland rates for HCPCS 20802

Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $6,760.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,235.94 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,235.94 / $6,165.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,884.03 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,019.95 / $5,623.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $3,890.45