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New Hampshire rates for HCPCS L7401

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

Facilitymedian $417 · 10th–90th $229$4900%20%40%10th90th$417Professionalmedian $275 · 10th–90th $186$3720%20%10th90th$275$200.0$500.0$1.0K$2.0K

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
$229.09
Median
$229.09
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$436.52
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04
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
$269.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$251.19
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$354.81
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$575.44