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Oregon 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
$3,801.89 / $6,760.83 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,951.21 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,786.30 / $7,585.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,248.07 / $6,456.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,981.07 / $5,888.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,570.88 / $7,079.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,248.07 / $5,495.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,981.07 / $5,754.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $5,128.61 / $7,244.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $42,657.95 / $67,608.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,623.41 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $26,302.68 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $5,248.07 / $7,413.10