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Nebraska 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
$4,897.79 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,754.23 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $18,620.87 / $36,307.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,073.80 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $5,888.44 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,265.80 / $15,488.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $5,011.87 / $20,417.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $6,165.95 / $8,511.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $20,892.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $6,165.95 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $13,489.63 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,897.79 / $6,760.83