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Utah rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,270.90 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.17 / $3,270.90 / $14,309.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,470.17 / $3,615.92 / $7,708.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.05 / $1,561.19 / $2,544.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.20 / $32,053.62 / $46,017.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,576.93 / $4,221.43 / $7,036.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.64 / $2,783.91 / $4,569.84