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North Carolina rates for HCPCS 20816

Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation

Facilitymedian $3,311 · 10th–90th $1,995–$11,2200%10%10th90th$3,311Professionalmedian $2,630 · 10th–90th $1,862–$5,3700%10%20%10th90th$2,630$100.0$500.0$2.0K$10.0K

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
$1,995.26 / $3,311.31 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,137.96 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,162.28 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,235.94 / $5,011.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $4,677.35
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,818.38 / $5,011.87
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,467.37 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $14,454.40 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,454.71 / $4,365.16
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $12,589.25 / $12,589.25
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,952.62 / $19,952.62 / $19,952.62