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Missouri 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
$398.95 / $590.12 / $609.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.95 / $457.13 / $831.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.23 / $916.89 / $4,030.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.73 / $476.72 / $706.81
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 / $455.91 / $665.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.95 / $731.41 / $4,086.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.92 / $466.78 / $705.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.92 / $435.65 / $619.24