Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $501.19
Facility
$190.55
$229.09
$501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $371.54
Professional
$190.55
$229.09
$371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $912.01
Facility
$181.97
$245.47
$912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $275.42 / $537.03
Professional
$239.88
$275.42
$537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $1,819.70
Facility
$288.40
$288.40
$1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $645.65
Professional
$208.93
$208.93
$645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $537.03
Facility
$223.87
$302.00
$537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $223.87 / $389.05
Professional
$165.96
$223.87
$389.05
See more rates by state
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