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Arizona 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
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.67 / $2,944.08 / $17,016.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,365.71 / $3,846.53 / $4,808.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,789.55 / $3,811.87 / $6,206.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,091.28 / $4,093.13 / $15,470.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661.40 / $3,458.30 / $27,142.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,419.00 / $10,420.00 / $18,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,640.10 / $3,237.50 / $6,207.73