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Maryland rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $741.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $602.56
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $588.84 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $676.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $724.44