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California rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Facilitymedian $229 · 10th–90th $182$1,0470%20%10th90th$229Professionalmedian $245 · 10th–90th $195$1,6220%20%10th90th$245$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
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$630.96
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$645.65
Typical High
$1,023.29
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$794.33
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$691.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$3,235.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$436.52
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$426.58
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$263.03
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$467.74