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Minnesota 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
$735.01 / $735.01 / $735.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.11 / $690.33 / $735.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.72 / $877.53 / $1,221.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.02 / $833.65 / $877.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $2,707.42 / $7,519.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.38 / $1,078.42 / $1,292.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.36 / $2,597.63 / $5,920.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.38 / $1,017.38 / $1,046.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.05 / $877.53 / $4,086.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $437.38 / $881.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $419.51 / $843.33