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Kentucky rates for HCPCS L7404

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

Facilitymedian $447 · 10th–90th $324$1,0720%20%10th90th$447Professionalmedian $339 · 10th–90th $295$5250%20%10th90th$339$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$407.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$912.01
Typical High
$1,174.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$3,235.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$457.09