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Vermont rates for HCPCS 20802

Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,630.78 / $6,165.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,715.35 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,890.45 / $6,606.93