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Delaware rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $1,698.24
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $512.86 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $645.65