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Georgia 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
$367.54 / $367.54 / $1,041.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.54 / $470.83 / $588.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.29 / $1,235.21 / $3,238.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.72 / $733.61 / $1,408.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.04 / $749.95 / $1,632.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.95 / $749.95 / $749.95
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 / $1,017.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.54 / $882.29 / $1,707.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $440.17 / $726.18