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West Virginia 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
$1,400.00 / $3,238.55 / $5,007.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,154.51 / $3,351.81 / $4,677.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,447.24 / $3,877.66 / $4,224.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.52 / $3,755.35 / $3,755.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,686.20 / $3,686.20 / $3,686.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,135.11 / $4,694.18 / $9,411.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,421.00 / $8,421.00 / $8,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,603.69 / $3,782.97 / $5,340.69