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Washington, DC 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
$456.54 / $456.54 / $456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.54 / $456.54 / $456.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.08 / $521.08 / $521.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $455.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.74 / $556.74 / $1,700.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.88 / $427.31 / $605.36