go back

Wyoming rates for HCPCS 20805

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,226.62 / $3,275.93 / $4,102.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,230.00 / $7,476.00 / $11,310.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,478.24 / $6,551.85 / $8,951.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,509.00 / $8,509.00 / $27,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,640.79 / $6,665.20 / $10,822.49