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Arizona rates for HCPCS L7401

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

Facilitymedian $331 · 10th–90th $120–$7940%10%10th90th$331Professionalmedian $214 · 10th–90th $174–$3720%20%10th90th$214$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
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $213.80 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $436.52 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $269.15 / $831.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $186.21 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $331.13 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $186.21 / $275.42