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North Carolina 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
$1,615.00 / $3,182.44 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,182.44 / $3,347.16 / $6,091.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,855.99 / $5,006.68 / $8,400.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,628.10 / $4,741.83 / $8,287.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,182.44 / $4,479.43 / $6,800.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,897.25 / $3,904.00 / $4,157.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $4,196.89 / $7,498.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,917.00 / $20,562.00 / $28,898.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,758.12 / $4,121.08 / $8,713.35
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $25,865.56 / $25,865.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,142.49 / $27,142.49 / $27,781.65