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Washington, DC rates for HCPCS L7404

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

Facilitymedian $347 · 10th–90th $347$9770%50%90th$347Professionalmedian $331 · 10th–90th $257$5890%20%10th90th$331$200.0$500.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$512.86