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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
$2,713.51 / $2,713.51 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.01 / $2,671.33 / $2,812.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,442.33 / $5,986.83 / $7,019.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,272.76 / $6,538.54 / $8,709.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,658.40 / $3,346.65 / $4,612.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.57 / $5,062.03 / $7,003.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.57 / $5,062.03 / $6,315.25