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Nationwide rates for HCPCS L7404

Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $346.74 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $371.54 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $457.09 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $512.86