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Connecticut rates for HCPCS L7404

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

Facilitymedian $316 · 10th–90th $316$6610%50%90th$316Professionalmedian $347 · 10th–90th $288$5890%20%10th90th$347$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$588.84
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$741.31
Health New England
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$549.54