go back

California rates for HCPCS L7405

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

Facilitymedian $457 · 10th–90th $355$2,0890%20%10th90th$457Professionalmedian $479 · 10th–90th $380$3,3110%20%10th90th$479$1.0$5.0$20.0$100.0$500.0$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
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $467.74 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $457.09 / $1,949.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $478.63 / $1,258.93
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,258.93 / $1,995.26
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,584.89 / $3,235.94
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 / $630.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $794.33 / $1,348.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,168.69
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,456.54 / $6,456.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $870.96 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $831.76
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $588.84 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $524.81 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $467.74 / $933.25