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Below Elbow or Wrist Disarticulation, Ultra-Light Material

New Hampshire 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?

$245

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $372 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$245$209 to $316
FacilityA hospital or hospital-owned outpatient department$372$245 to $389

How much rates vary

Facilitymedian $372 · 10th to 90th $204 to $447Professionalmedian $245 · 10th to 90th $162 to $316
$200$500facility $372professional $245

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
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$239.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$234.42
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$316.23
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$512.86

Where New Hampshire 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.

New Hampshire· 18th of 51

$245

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.