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Idaho 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
$389.05 / $524.81 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $630.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $831.76 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $741.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $831.76 / $831.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $630.96 / $954.99
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $588.84 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $389.05 / $602.56