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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
$2,629.10 / $3,364.43 / $4,118.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,700.76 / $80,886.58 / $94,079.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,400.99 / $4,401.28 / $6,204.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,281.94 / $4,920.10 / $6,965.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,049.87 / $4,685.70 / $7,188.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.10 / $3,260.37 / $4,118.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,841.29 / $4,452.43 / $6,405.74