go back

North Dakota 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
$645.65 / $645.65 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $741.31 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,288.25 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $933.25