go back

Oklahoma rates for HCPCS L7403

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

Facilitymedian $251 · 10th–90th $191$6460%20%10th90th$251Professionalmedian $219 · 10th–90th $191$3890%20%10th90th$219$100.0$200.0$500.0$1.0K$2.0K

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$389.05
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
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$295.12