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Louisiana rates for HCPCS L7404

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

Facilitymedian $575 · 10th–90th $389$1,2020%20%10th90th$575Professionalmedian $339 · 10th–90th $282$5620%20%10th90th$339$0.5$2.0$10.0$50.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
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
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$457.09