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Oklahoma 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
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $741.31
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 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $549.54 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $446.68 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $891.25 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $588.84