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Colorado 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
$443.58 / $443.58 / $443.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.50 / $443.58 / $664.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.15 / $996.80 / $1,809.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.72 / $476.72 / $514.86
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 / $934.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.48 / $443.58 / $1,178.85
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.48 / $252.48 / $252.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.62 / $1,108.94 / $1,756.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.60 / $391.10 / $602.66