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Other Upper Extremity Prosthesis

Ohio rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Rates data updated October 2026.

How much does Other Upper Extremity Prosthesis cost?

$3,548

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $3,548 for this service. Most negotiated rates run $3,548 to $3,548.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $3,548 · 10th to 90th $3,548 to $3,548
$100$200$500$1K$2Kprofessional $3,548

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$60.26
Typical High
$60.26
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$0.02
Median
$0.02
Typical High
$0.03

Where Ohio sits

The same service costs 275.4 times more in Michigan than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 27th of 51

$3,548

MI $8,318SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.