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Mississippi rates for HCPCS L7404

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

Facilitymedian $525 · 10th–90th $380$8130%20%40%10th90th$525Professionalmedian $380 · 10th–90th $295$5620%10%20%10th90th$380$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
$380.19
Median
$380.19
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
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
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$457.09