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Connecticut rates for HCPCS 20805

Replantation Forearm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,280.34 / $6,182.92 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.64 / $3,411.45 / $7,924.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,905.00 / $50,852.12 / $69,197.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,898.30 / $5,601.13 / $7,596.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.24 / $5,768.94 / $8,216.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.67 / $2,466.00 / $2,518.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,802.43 / $4,038.55 / $5,202.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,838.00 / $14,408.00 / $21,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,913.01 / $5,692.38 / $9,532.44