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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
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,027.57 / $15,945.27 / $15,945.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,078.16 / $10,904.82 / $13,828.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,066.88 / $15,945.27 / $22,323.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,945.10 / $9,534.12 / $19,355.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,861.25 / $16,290.12 / $19,514.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,066.88 / $15,945.27 / $22,323.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,866.38 / $16,018.20 / $20,873.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,723.86 / $17,447.72 / $19,192.49