go back

Connecticut rates for HCPCS L7400

Addition To Upper Extremity Prosthesis Below Elbow Elbow/Wrist Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.52 / $175.52 / $175.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $162.85 / $175.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.88 / $361.13 / $413.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.93 / $222.31 / $222.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $174.73
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.73 / $234.73 / $234.73
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.73 / $234.73 / $332.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.97 / $274.97 / $274.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.49 / $180.17 / $254.10