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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
$416.87 / $416.87 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $426.58 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $891.25 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $467.74 / $478.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $1,548.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $891.25 / $4,168.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $602.56