go back

Alaska rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Facilitymedian $468 · 10th–90th $251–$8710%20%40%10th90th$468Professionalmedian $575 · 10th–90th $427–$1,0720%10%10th90th$575$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $562.34 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $933.25
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $562.34 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $831.76 / $2,818.38
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $831.76 / $870.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $831.76 / $870.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $870.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $630.96 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $426.58 / $1,905.46