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Georgia rates for HCPCS L7404

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

Facilitymedian $692 · 10th–90th $282$2,5120%10%20%10th90th$692Professionalmedian $398 · 10th–90th $282$6610%10%20%10th90th$398$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$281.84
Median
$281.84
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,621.81
Typical High
$2,511.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$812.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
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
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$660.69