go back

Florida 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
$190.84 / $205.25 / $235.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.84 / $228.84 / $332.70
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 / $281.42
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.57 / $297.57 / $297.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.94 / $298.68 / $447.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.60 / $357.60 / $357.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.96 / $223.01 / $298.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.12 / $267.12 / $447.00