go back

Maryland rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.66 / $2,720.18 / $3,111.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,534.54 / $3,217.24 / $3,950.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.86 / $3,369.32 / $6,163.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,848.58 / $3,703.74 / $4,797.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.00 / $2,169.00 / $4,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.50 / $3,094.61 / $5,739.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.94 / $3,301.79 / $4,053.84