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Nationwide rates for HCPCS L7403

Addition To Upper Extremity Prosthesis Below Elbow/Wrist Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.28 / $228.84 / $282.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.66 / $228.84 / $332.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.90 / $464.51 / $867.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.44 / $267.12 / $359.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $286.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $209.36 / $477.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.90 / $221.80 / $349.85