go back

Massachusetts 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
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $776.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $831.76 / $4,073.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $645.65 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $758.58
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 / $630.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,148.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $831.76 / $4,073.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $588.84 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $741.31