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Iowa rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $447 · 10th–90th $302–$1,2020%20%10th90th$447Professionalmedian $257 · 10th–90th $191–$4570%20%10th90th$257$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
$331.13 / $346.74 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $234.42 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $512.86 / $645.65
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $457.09 / $549.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $575.44 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $302.00 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $512.86 / $602.56
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $457.09 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $436.52