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Kentucky 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
$382.42 / $419.89 / $436.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.24 / $425.97 / $467.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.23 / $882.29 / $927.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.66 / $470.83 / $476.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.72 / $1,228.54 / $1,413.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.18 / $1,096.91 / $1,455.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $1,033.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $624.54 / $4,208.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.44 / $440.17 / $598.48