Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $120.23 / $309.03
Facility
$91.20
$120.23
$309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $120.23 / $199.53
Professional
$87.10
$120.23
$199.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $128.82 / $501.19
Facility
$93.33
$128.82
$501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $128.82 / $275.42
Professional
$117.49
$128.82
$275.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $169.82 / $912.01
Facility
$165.96
$169.82
$912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $346.74
Professional
$123.03
$123.03
$346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $275.42
Facility
$107.15
$154.88
$275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $213.80
Professional
$85.11
$120.23
$213.80
See more rates by state
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