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Connecticut 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
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $426.58 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $575.44
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 / $457.09
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $616.60 / $851.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $602.56