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Maryland rates for HCPCS 20805

Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,887.64 / $3,351.81 / $3,704.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,125.32 / $3,818.39 / $4,800.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,929.12 / $4,320.13 / $7,323.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,377.58 / $4,396.31 / $6,146.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,985.00 / $2,169.00 / $4,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,563.54 / $3,593.82 / $6,833.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,882.28 / $3,919.19 / $4,811.39