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Alabama rates for HCPCS L7405

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $588.84 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $602.56