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Vermont rates for HCPCS L7405

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $537.03
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 / $630.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $645.65 / $1,778.28