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Other Upper Extremity Prosthesis

Illinois rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $5,623 · 10th–90th $100$5,6230%50%10th$5,623Professionalmedian $3,548 · 10th–90th $200$3,5480%50%10th$3,548$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00