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Tennessee 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
$2,398.83 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,818.38 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $9,332.54 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,981.07 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,548.13 / $5,495.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $21,877.62 / $21,877.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,417.38 / $23,442.29 / $23,442.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,232.93 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $5,370.32