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New Jersey rates for HCPCS L7404

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

Facilitymedian $240 · 10th–90th $240$6610%50%90th$240Professionalmedian $331 · 10th–90th $257$6610%10%20%10th90th$331$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$436.52
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$912.01
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$645.65