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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
$2,467.27 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,467.27 / $2,467.27 / $14,309.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,368.80 / $18,898.90 / $36,556.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,379.36 / $4,055.73 / $5,407.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,150.77 / $6,036.47 / $8,153.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,467.27 / $4,317.72 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,323.55 / $4,985.33 / $7,497.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.35 / $5,733.85 / $8,455.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,350.00 / $5,489.42 / $8,153.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,323.55 / $5,024.56 / $6,744.26