go back

New Jersey 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
$4,466.84 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,365.16 / $10,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,630.78 / $5,011.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $48,977.88 / $91,201.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,265.80 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $10,715.19 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,388.44 / $7,762.47