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Arizona 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
$385.43 / $394.70 / $656.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.57 / $742.61 / $1,342.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.91 / $685.22 / $933.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $624.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $1,017.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.48 / $470.83 / $4,086.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.48 / $391.10 / $602.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.48 / $391.10 / $598.48