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Below Elbow or Wrist Disarticulation, Ultra-Light Material

Montana rates for HCPCS L7400

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultra-light material (titanium, carbon fiber or equal)

Rates data updated July 2026.

How much does Below Elbow or Wrist Disarticulation, Ultra-Light Material cost?

$309

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $363 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$195 to $363
FacilityA hospital or hospital-owned outpatient department$363$288 to $389

How much rates vary

Facilitymedian $363 · 10th to 90th $240 to $457Professionalmedian $302 · 10th to 90th $107 to $708
$100$200$500$1Kfacility $363professional $302

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$302.00
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$389.05
Typical High
$389.05
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$707.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$295.12
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$257.04

Where Montana sits

The same service costs 2.6 times more in Kansas than in Delaware. 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.

Montana· 9th of 51

$309

KS $417DE $162

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.