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Kansas 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
$334.72 / $334.72 / $334.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.69 / $233.04 / $372.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.42 / $692.47 / $736.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.85 / $657.85 / $657.85
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 / $318.35 / $648.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.69 / $358.75 / $2,083.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.90 / $237.94 / $568.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.06 / $222.08 / $307.20