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Minnesota 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
$2,691.53 / $2,691.53 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,691.53 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $30,199.52 / $61,659.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $6,456.54 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $9,772.37 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $7,762.47 / $11,748.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,332.54 / $18,197.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,606.93 / $10,471.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,677.35 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $5,128.61 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $8,128.31 / $28,183.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,897.79 / $9,549.93