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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
$2,311.00 / $4,069.00 / $8,608.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,742.13 / $3,347.16 / $5,234.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,509.00 / $8,430.00 / $14,914.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,080.26 / $4,133.88 / $6,625.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,306.61 / $4,580.47 / $6,816.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $25,865.56 / $26,422.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,142.49 / $27,142.49 / $27,781.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,850.00 / $10,986.00 / $20,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,824.00 / $3,622.43 / $6,834.76