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Below Elbow or Wrist Disarticulation, Ultra-Light Material

South Dakota 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?

$363

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 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 7 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$363$302 to $427
FacilityA hospital or hospital-owned outpatient department$363$275 to $525

How much rates vary

Facilitymedian $363 · 10th to 90th $251 to $724Professionalmedian $363 · 10th to 90th $288 to $537
$200$500$1Kfacility $363professional $363

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$407.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$676.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$436.52
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54

Where South Dakota 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.

South Dakota· 5th of 51

$363

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.