go back

Arkansas 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
$248.42 / $248.42 / $248.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.83 / $248.42 / $248.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.83 / $510.66 / $567.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.90 / $433.90 / $447.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.90 / $433.90 / $433.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $357.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $209.36 / $335.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.65 / $222.97 / $305.32