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Washington, DC rates for HCPCS L7401

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

Facilitymedian $214 · 10th–90th $214$6030%50%90th$214Professionalmedian $204 · 10th–90th $158$3630%20%10th90th$204$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$363.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$316.23