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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
$416.30 / $416.30 / $416.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.75 / $386.26 / $417.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.80 / $856.52 / $979.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.72 / $476.72 / $500.26
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 / $624.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.74 / $556.74 / $556.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.74 / $556.74 / $788.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.16 / $652.16 / $652.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.10 / $427.31 / $602.66