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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.25 / $3,242.23 / $3,242.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,854.77 / $3,429.82 / $6,028.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $5,170.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,603.69 / $3,724.11 / $7,617.96