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North Carolina 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
$1,615.00 / $2,676.92 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.64 / $2,713.47 / $4,976.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.08 / $3,906.89 / $6,680.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,828.94 / $3,811.43 / $6,960.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,676.92 / $3,429.00 / $5,322.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,002.64 / $3,455.00 / $3,503.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $3,539.60 / $6,005.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.00 / $21,463.00 / $29,047.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,210.34 / $3,166.77 / $6,705.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $21,797.44 / $21,797.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,642.09 / $20,642.09 / $23,401.88