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Tennessee 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
$2,398.83 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $9,332.54 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,677.35 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,365.16 / $6,760.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $25,703.96 / $25,703.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $27,542.29 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,232.93 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,801.89 / $6,456.54