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Washington rates for HCPCS 20805

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

Facilitymedian $7,244 · 10th–90th $3,715–$36,3080%10%10th90th$7,244Professionalmedian $4,467 · 10th–90th $2,630–$8,5110%10%10th90th$4,467$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$4,677.35 / $7,413.10 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,715.35 / $7,943.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $45,708.82 / $91,201.08
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,309.57 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,248.07 / $9,772.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,606.93 / $33,113.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,165.95 / $25,118.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,318.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,025.60 / $6,606.93
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,466.84
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,456.54 / $8,511.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $45,708.82 / $91,201.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,309.57 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $50,118.72 / $100,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,677.35 / $8,511.38
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,311.31 / $5,888.44