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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
$374.24 / $374.24 / $374.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.24 / $394.70 / $681.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.34 / $2,417.04 / $4,086.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.10 / $636.26 / $836.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.85 / $759.99 / $759.99
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 / $1,017.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.49 / $693.49 / $728.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.16 / $652.16 / $652.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.39 / $4,086.48 / $4,086.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.58 / $457.84 / $836.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.82 / $457.84 / $836.45