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Other Upper Extremity Prosthesis

Arizona rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $19$1450%10%10th90th$76Professionalmedian $105 · 10th–90th $55$3,5480%20%10th90th$105$20.0$50.0$100.0$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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$75.86
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,698.24