go back

North Dakota rates for HCPCS L7404

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

Facilitymedian $490 · 10th–90th $437$1,0230%20%40%10th90th$490Professionalmedian $562 · 10th–90th $295$7760%10%20%10th90th$562$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
$489.78
Median
$489.78
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$776.25
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$794.33