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Pennsylvania rates for HCPCS L7405

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

Facilitymedian $1,072 · 10th–90th $380$1,4790%20%10th90th$1,072Professionalmedian $437 · 10th–90th $372$7760%20%40%10th90th$437$1.0$10.0$100.0$1.0K$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
$380.19 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $426.58 / $741.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $630.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,148.15 / $1,659.59
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $616.60 / $870.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $436.52 / $741.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1,230.27 / $1,698.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $812.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,071.52 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $467.74 / $870.96