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Wyoming 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
$2,720.59 / $2,757.56 / $3,458.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,249.00 / $6,299.00 / $9,528.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,778.13 / $5,515.12 / $7,547.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,509.00 / $8,509.00 / $27,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,755.51 / $5,540.20 / $8,611.70