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Oklahoma rates for HCPCS 20805

Replantation Forearm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.30 / $3,424.40 / $3,472.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,293.78 / $4,153.54 / $5,359.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,188.84 / $4,401.97 / $18,958.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,889.52 / $3,663.49 / $27,142.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,917.00 / $13,550.00 / $20,812.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.44 / $3,418.05 / $4,819.45