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Montana rates for HCPCS 20805

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

Facilitymedian $5,495 · 10th–90th $4,169–$6,0260%20%10th90th$5,495Professionalmedian $4,571 · 10th–90th $3,162–$8,1280%10%20%10th90th$4,571$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,073.80 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,168.69 / $5,495.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,623.41 / $6,025.60
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,623.41 / $6,025.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,466.84 / $6,165.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,466.84 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,370.32 / $6,606.93