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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
$378.53 / $378.53 / $378.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.53 / $432.61 / $436.69
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 / $624.54 / $624.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.48 / $529.85 / $4,086.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $516.82 / $893.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $410.19 / $589.27