go back

Alaska rates for HCPCS 20805

Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,073.80 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $10,964.78 / $13,803.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,370.32 / $22,387.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $10,964.78 / $16,218.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,471.29 / $13,182.57 / $19,054.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,370.32 / $17,378.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $4,466.84 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $13,182.57 / $19,054.61