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Indiana rates for HCPCS L7400

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $380 · 10th–90th $178–$4680%20%40%10th90th$380Professionalmedian $186 · 10th–90th $162–$3090%50%10th90th$186$0.5$2.0$10.0$50.0$200.0$1.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $181.97 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $380.19 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $223.87 / $380.19
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $239.88 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $186.21 / $263.03