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Minnesota rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.33 / $2,671.33 / $2,671.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,619.38 / $2,720.59 / $4,274.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,536.55 / $24,148.58 / $48,657.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,758.43 / $7,642.96 / $9,715.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,465.25 / $9,173.26 / $22,067.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,847.16 / $7,721.42 / $11,467.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,877.50 / $8,386.56 / $17,376.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,388.47 / $6,903.47 / $10,516.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,667.77 / $4,514.55 / $7,858.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,965.40 / $5,373.62 / $10,862.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.00 / $11,496.00 / $21,528.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,965.40 / $5,556.38 / $10,759.90