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Delaware 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
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $263.03 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $331.13