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North Dakota 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 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,691.53 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,888.44 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $5,011.87 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,311.31 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,897.79 / $20,417.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,897.79 / $6,606.93