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West Virginia 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
$1,400.00 / $2,720.18 / $4,208.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,654.79 / $2,825.13 / $4,147.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.54 / $3,259.39 / $3,551.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.43 / $3,156.59 / $3,156.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,101.70 / $3,101.70 / $3,101.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,639.47 / $3,615.19 / $8,027.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.99 / $2,961.89 / $4,340.31