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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
$656.61 / $656.61 / $656.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.48 / $457.13 / $731.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.49 / $683.52 / $725.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.45 / $678.45 / $678.45
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 / $624.54 / $1,271.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.48 / $703.75 / $4,086.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $466.78 / $1,115.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.43 / $435.65 / $602.66