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Missouri 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
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,742.13 / $3,282.36 / $5,104.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $20,450.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,096.35 / $3,866.80 / $5,713.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,037.95 / $4,367.91 / $7,216.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,505.71 / $4,465.00 / $8,474.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,127.84 / $4,631.99 / $27,142.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,926.00 / $4,994.00 / $15,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,076.25 / $4,254.70 / $6,846.20