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New Hampshire rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,561.52 / $8,799.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.66 / $2,512.31 / $3,601.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,458.00 / $51,903.94 / $90,489.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.32 / $4,591.10 / $6,843.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,101.70 / $3,101.70 / $3,101.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,488.22 / $5,131.60 / $8,017.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,064.97 / $4,821.81 / $9,460.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,629.00 / $12,629.00 / $12,629.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,119.37 / $4,072.38 / $7,623.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.60 / $2,378.86 / $3,027.64