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Massachusetts 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
$2,663.12 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.64 / $3,182.44 / $5,075.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $7,605.59 / $36,845.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,344.12 / $5,852.30 / $27,142.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,268.22 / $5,664.24 / $9,311.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $4,475.91 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,681.74 / $4,459.80 / $6,059.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,024.32 / $7,614.42 / $10,022.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,238.00 / $21,175.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,588.95 / $5,928.51 / $27,142.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,898.00 / $25,809.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,373.07 / $4,969.27 / $9,623.41