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Tennessee 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
$374.89 / $382.24 / $382.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.24 / $382.24 / $656.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.67 / $794.06 / $794.06
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 / $624.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.08 / $4,086.48 / $4,086.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,418.01 / $4,418.01 / $6,423.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.44 / $440.17 / $602.66