go back

Georgia rates for HCPCS L7403

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

Facilitymedian $537 · 10th–90th $186$1,6600%10%20%10th90th$537Professionalmedian $263 · 10th–90th $186$4370%10%20%10th90th$263$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$186.21
Median
$537.03
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,071.52
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$537.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
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
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$436.52