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Arkansas rates for HCPCS L7404

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

Facilitymedian $398,107 · 10th–90th $372$891,2510%10%20%10th90th$398,107Professionalmedian $347 · 10th–90th $288$5250%20%10th90th$347$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$691.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$457.09