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Wisconsin rates for HCPCS 20805

Replantation Forearm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,108.53 / $6,524.86 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,018.17 / $3,226.62 / $14,850.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $37,855.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,119.42 / $7,173.54 / $18,343.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,201.09 / $9,583.62 / $14,701.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,810.17 / $12,653.21 / $14,378.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,957.07 / $4,118.93 / $6,869.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,108.53 / $6,383.72 / $17,940.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,447.13 / $6,468.20 / $27,142.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.40 / $1,926.51 / $6,123.92
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,957.07 / $4,118.93 / $6,869.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,386.25 / $7,781.40 / $11,616.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,422.62 / $26,422.62 / $26,422.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,919.87 / $15,533.65 / $27,142.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,315.79 / $10,315.79 / $10,315.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,237.15 / $15,903.88 / $20,136.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,452.00 / $17,119.00 / $22,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,418.05 / $6,391.00 / $14,228.82