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New York 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
$2,220.00 / $4,860.24 / $10,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.03 / $2,834.83 / $5,184.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,760.00 / $10,037.00 / $19,299.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,267.85 / $2,875.58 / $5,760.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,867.69 / $3,867.69 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,867.69 / $3,867.69 / $3,867.69
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
$2,698.66 / $4,031.36 / $10,331.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,947.00 / $7,259.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,969.58 / $4,100.26 / $6,227.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.09 / $2,550.09 / $2,550.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.36 / $3,251.79 / $5,744.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $3,101.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,752.20 / $4,045.79 / $9,467.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $7,719.00 / $18,532.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,449.38 / $3,463.11 / $9,019.66
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,256.66 / $3,256.66 / $11,729.85
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.88 / $3,386.93 / $6,884.06