go back

Indiana rates for HCPCS L7401

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

Facilitymedian $427 · 10th–90th $195–$5250%20%40%10th90th$427Professionalmedian $209 · 10th–90th $182–$3470%20%10th90th$209$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
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $204.17 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $426.58 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $251.19 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $281.84 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $208.93 / $295.12