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Nebraska 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
$2,928.96 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,928.96 / $2,928.96 / $17,016.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,823.02 / $4,811.97 / $6,415.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,653.00 / $7,152.14 / $9,704.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,928.96 / $5,311.43 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,955.19 / $6,253.50 / $8,916.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,647.19 / $7,310.77 / $10,047.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,494.91 / $6,744.32 / $9,704.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,158.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,866.93 / $6,543.30 / $8,518.86