go back

West Virginia 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
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $741.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,202.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $707.95