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Minnesota rates for HCPCS L7405

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

Facilitymedian $1,023 · 10th–90th $759–$6,4570%20%10th90th$1,023Professionalmedian $871 · 10th–90th $427–$1,0230%20%40%10th90th$871$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $524.81 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $870.96 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,311.31 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,148.15 / $1,288.25
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,235.94 / $6,456.54
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $870.96 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $512.86 / $1,288.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $457.09 / $1,202.26