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Maine rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.86 / $2,835.45 / $3,461.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,700.76 / $80,886.58 / $94,079.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,861.98 / $3,703.74 / $5,224.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,767.92 / $4,037.21 / $5,865.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,411.78 / $3,947.43 / $6,055.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.86 / $2,713.47 / $3,461.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.85 / $3,399.25 / $5,400.94