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Idaho rates for HCPCS 20805

Replantation Forearm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,227.72 / $4,102.60 / $6,602.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,593.35 / $4,931.20 / $5,719.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,089.23 / $5,823.40 / $7,616.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,243.77 / $5,720.47 / $7,532.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $4,474.37 / $5,629.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,946.55 / $23,802.20 / $39,273.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,527.58 / $6,503.04 / $7,532.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $65,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,220.88 / $4,614.93 / $6,612.07