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Other Upper Extremity Prosthesis

Pennsylvania 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 Pennsylvania, 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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $4,266 to $79,433Professionalmedian $3,548 · 10th to 90th $3,548 to $58,884
$5K$10K$20K$50Kfacility $5,012professional $3,548

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

Rates by insurance carrier

Insurance Carrier
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$7,079.46

Where Pennsylvania 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.

Pennsylvania· 9th 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.