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Oklahoma 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
$1,346.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.36 / $2,879.15 / $2,919.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.94 / $3,350.28 / $4,229.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,591.23 / $3,598.94 / $17,833.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.46 / $2,966.67 / $20,642.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.21 / $2,792.16 / $4,052.02