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Washington 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
$4,102.60 / $7,920.26 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,998.97 / $4,102.60 / $8,896.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,458.95 / $46,149.28 / $90,281.73
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,589.68 / $7,386.82 / $28,407.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,281.37 / $5,852.97 / $9,786.14
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.47 / $6,044.22 / $9,000.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,111.47 / $6,026.48 / $8,217.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.10 / $1,866.13 / $6,297.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,367.28 / $6,039.38 / $6,537.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,364.66 / $4,364.66 / $4,458.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,987.97 / $7,129.90 / $8,850.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,050.80 / $47,196.58 / $90,281.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,451.37 / $6,346.73 / $8,459.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $8,600.00 / $24,236.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,882.49 / $5,209.04 / $9,373.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,712.36 / $2,712.36 / $3,457.70