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North Dakota rates for HCPCS 20805

Replantation Forearm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,227.72 / $3,227.72 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.67 / $3,167.88 / $3,346.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,343.18 / $7,082.86 / $8,332.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,079.90 / $7,747.00 / $10,319.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,227.72 / $4,034.86 / $5,487.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,418.05 / $5,921.25 / $8,327.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,418.05 / $5,921.25 / $7,519.71