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Other Upper Extremity Prosthesis

Texas 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 Texas, 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $676 · 10th to 90th $676 to $676Professionalmedian $3,548 · 10th to 90th $30 to $3,548
$50$100$200$500$1K$2Kfacility $676professional $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
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Moda Health
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$81.28
Providence
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89

Where Texas 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.

Texas· 37th 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.