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Texas rates for HCPCS 20805

Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation

Facilitymedian $3,981 · 10th–90th $1,000–$14,4540%10%20%10th90th$3,981Professionalmedian $3,388 · 10th–90th $2,692–$5,7540%20%10th90th$3,388$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,311.31 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,162.28 / $5,011.87
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $2,818.38 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,265.80 / $6,760.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $77,624.71
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $28,183.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,981.07 / $7,244.36
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,073.80 / $6,456.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $416.87 / $2,754.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,073.80 / $6,918.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,168.69 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $11,220.18 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,388.44 / $5,370.32
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,884.03 / $3,019.95