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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
$2,691.53 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,388.44 / $8,317.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $7,413.10 / $40,738.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $5,011.87 / $26,915.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,897.79 / $8,912.51
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $4,168.69 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,981.07 / $5,495.41
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,918.31 / $20,417.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $5,370.32 / $7,943.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $7,413.10 / $40,738.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $5,011.87 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,244.36 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $8,912.51