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Florida 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
$380.19 / $407.38 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $630.96
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $537.03 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $588.84 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $436.52 / $588.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $891.25