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California rates for HCPCS L7405

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.83 / $470.83 / $2,471.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.24 / $470.83 / $2,471.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.54 / $1,299.48 / $2,718.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.64 / $476.72 / $816.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $1,014.04 / $1,810.79
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,136.46 / $2,647.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $680.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $665.79
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.84 / $549.41 / $942.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.91 / $599.55 / $1,301.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.25 / $4,086.48 / $4,086.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,418.01 / $4,418.01 / $6,423.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.59 / $1,808.59 / $1,808.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.48 / $772.42 / $882.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $624.54 / $815.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.67 / $1,616.67 / $1,616.67
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.84 / $685.22 / $686.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.14 / $427.31 / $856.55