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New York rates for HCPCS L7401

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

Facilitymedian $324 · 10th–90th $174$7410%10%20%10th90th$324Professionalmedian $251 · 10th–90th $178$5620%20%10th90th$251$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $323.59 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $257.04 / $645.65
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $338.84 / $338.84
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $478.63
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $676.08 / $1,584.89
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $776.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $302.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $257.04 / $288.40
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $275.42 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $676.08
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $245.47 / $302.00
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $257.04 / $288.40