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Indiana 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
$2,318.00 / $2,998.97 / $4,920.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,765.59 / $3,053.89 / $4,048.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,778.00 / $48,259.71 / $70,653.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,726.68 / $4,601.39 / $6,349.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,093.25 / $4,075.81 / $6,113.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,911.29 / $3,639.11 / $5,240.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,298.86 / $4,181.05 / $6,736.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,161.00 / $13,735.00 / $19,477.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,632.64 / $3,516.07 / $6,209.71