go back

Wisconsin rates for HCPCS 20805

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

Facilitymedian $14,791 · 10th–90th $6,761$25,1190%20%10th90th$14,791Professionalmedian $4,677 · 10th–90th $2,951$14,1250%10%10th90th$4,677$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
$3,090.30 / $6,456.54 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,235.94 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $15,488.17 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,456.54 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $9,549.93 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $12,882.50 / $14,791.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,456.54 / $10,471.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,585.78 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,606.93 / $19,498.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,025.60 / $26,915.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,882.50 / $27,542.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $7,079.46 / $13,489.63
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,918.31 / $10,232.93
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $25,703.96 / $25,703.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $15,488.17 / $26,915.35
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,232.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $17,782.79 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $17,378.01 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,897.79 / $12,882.50