Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Upper extremity prosthes nos
Low
$0
Average
$9.8k
Median
$1.1k
High
$29.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 657.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms | 22 | $464 | $11.4k | $6.5k | 57% | — | $84 – $17.6k |
| 2 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 3 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 4 | Molina facility · case rate · outpatient · +3 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 6 | Optum facility · case rate · outpatient | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 7 | Cigna professional · fee schedule · outpatient · +5 other terms | 8 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 8 | Humana fee schedule · outpatient · +4 other terms | 7 | $4 | $3 | $1 | 33% | — | $1 – $4 |
| 9 | Aetna facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 3 | $354 | $17.7k | $43.4k | 245% | — | $2 – $302.0k |
| 10 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 3 | $646 | $22.9k | $56.7k | 248% | — | $3 – $365.7k |
| 11 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 3 | $861 | $22.9k | $56.7k | 248% | — | $3 – $365.7k |
| 12 | Medicaid facility · percent of total billed charges · outpatientfrom % of charges | 2 | $14.8k | $27.4k | $67.4k | 246% | — | $4 – $430.2k |
| 13 | Aetna Better Health facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29.3k | $29.3k | $69.3k | 236% | — | $4 – $430.2k |
| 14 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29.3k | $29.3k | $69.3k | 236% | — | $4 – $430.2k |
| 15 | Bcbs Il professional · fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 16 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Kaiser facility · fee schedule · outpatient · +1 other terms | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 18 | Magellan per diem · inpatient · +3 other terms | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 19 | Medicare per diem · inpatient · +1 other terms | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 20 | Tricare facility · fee schedule · outpatient | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 21 | Wellmark percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $169 | $169 | — | — | — | $169 – $169 |
← Hospitals reporting HCPCS L7499 · Snapshot 20261112T181611Z-3fa9fb76