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Illinois rates for HCPCS 20805

Replantation Forearm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,636.00 / $6,852.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,688.71 / $3,346.04 / $6,217.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,420.47 / $43,680.16 / $87,469.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,991.05 / $5,518.70 / $6,726.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,332.81 / $4,810.17 / $6,769.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,741.24 / $5,481.32 / $12,316.54
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,769.92 / $4,165.79 / $4,632.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $5,237.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $8,100.00 / $24,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,050.46 / $4,194.39 / $7,380.29