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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
$190.55 / $229.09 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $245.47 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $275.42 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $302.00 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $338.84