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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
$446.68 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,949.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $478.63 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $912.01 / $1,819.70
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $524.81 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $602.56