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Missouri rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.92 / $2,762.25 / $4,297.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $20,450.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.65 / $3,177.00 / $4,677.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.66 / $3,528.69 / $6,057.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.07 / $3,675.28 / $7,200.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,583.51 / $3,714.57 / $20,642.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $5,241.00 / $19,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,485.58 / $3,444.68 / $5,718.22