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Florida 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
$190.55 / $204.17 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $316.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $275.42 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $302.00 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $223.87 / $302.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $457.09