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Minnesota 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
$3,167.88 / $3,167.88 / $3,167.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,108.53 / $3,226.62 / $5,075.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,692.86 / $9,375.04 / $24,527.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,648.37 / $9,072.06 / $11,445.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,661.49 / $10,870.55 / $26,150.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,743.03 / $9,148.50 / $13,586.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $9,938.29 / $20,591.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,199.55 / $8,179.38 / $12,460.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,167.88 / $5,353.72 / $9,319.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,520.59 / $6,166.00 / $12,933.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.00 / $5,379.86 / $13,341.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,345.30 / $6,061.44 / $12,475.88