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Michigan rates for HCPCS 20802

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,691.53 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $6,165.95 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,162.28 / $5,754.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,897.79 / $6,760.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $3,981.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,090.30 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $11,481.54 / $39,810.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,019.95 / $3,890.45