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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
$417.98 / $417.98 / $482.28
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 / $665.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $624.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $624.54 / $665.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.88 / $589.27 / $990.18