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Maine 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
$2,951.21 / $3,715.35 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,786.30 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,570.88 / $7,244.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,365.16 / $8,128.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,466.84 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,265.80 / $6,456.54