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Iowa rates for HCPCS L7403

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

Facilitymedian $447 · 10th–90th $288$1,2020%20%10th90th$447Professionalmedian $251 · 10th–90th $186$4900%20%10th90th$251$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
$323.59
Median
$346.74
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$645.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$501.19
Typical High
$602.56
Midlands
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$446.68
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$436.52