go back

Montana rates for HCPCS 20808

Replantation Hand Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,193.89 / $5,452.12 / $20,550.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,185.51 / $6,185.51 / $6,185.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,356.46 / $6,185.51 / $6,665.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,057.29 / $4,203.77 / $6,185.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,762.31 / $6,185.51 / $8,141.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,619.19 / $6,642.15 / $7,652.02