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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.08 / $3,725.28 / $4,677.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.56 / $3,856.84 / $5,865.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,017.54 / $5,346.46 / $6,767.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,649.00 / $6,917.00 / $19,195.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,582.80 / $4,149.99 / $6,653.99