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Kansas 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
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $457.09 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $676.08 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
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 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $616.60 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $691.83 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $602.56