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Tennessee rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.00 / $4,069.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.92 / $2,676.92 / $4,400.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,509.00 / $8,397.00 / $14,914.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,543.15 / $3,477.36 / $5,497.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.48 / $3,647.93 / $5,556.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $21,797.44 / $22,266.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,642.09 / $20,642.09 / $23,401.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $19,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,222.75 / $3,024.05 / $5,776.54