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Below Elbow or Wrist Disarticulation, Ultra-Light Material

Utah 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?

$219

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $219 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$219$151 to $380
FacilityA hospital or hospital-owned outpatient department$219$107 to $372

How much rates vary

Facilitymedian $219 · 10th to 90th $107 to $372Professionalmedian $219 · 10th to 90th $107 to $1,585
$100$200$500$1Kfacility $219professional $219

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
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$1,584.89
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
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$275.42
Typical High
$346.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$371.54
Typical High
$371.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$407.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$371.54
Typical High
$380.19
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$257.04

Where Utah 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.

Utah· 24th of 51

$219

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.