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Colorado rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.11 / $226.11 / $226.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.44 / $226.11 / $338.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.21 / $508.10 / $922.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.00 / $243.00 / $262.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $232.40 / $476.32
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.69 / $226.11 / $600.95
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.69 / $128.69 / $128.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.11 / $565.26 / $895.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.32 / $199.36 / $307.20