go back

Massachusetts rates for HCPCS L7401

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

Facilitymedian $214 · 10th–90th $178$1,9500%20%40%10th90th$214Professionalmedian $275 · 10th–90th $178$3980%20%10th90th$275$0.5$5.0$50.0$500.0$5.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$363.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$1,949.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$457.09
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
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$537.03
Health New England
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$1,949.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$354.81