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Other Upper Extremity Prosthesis

Wisconsin 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 Wisconsin, 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

Facilitymedian $1,698 · 10th to 90th $1,698 to $1,698Professionalmedian $3,548 · 10th to 90th $3,548 to $3,548
$2K$5Kfacility $1,698professional $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
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Quartz
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13

Where Wisconsin 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.

Wisconsin· 22nd 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.