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Above Elbow Disarticulation, Ultra-Light Material

Alaska rates for HCPCS L7401

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

Rates data updated October 2026.

How much does Above Elbow Disarticulation, Ultra-Light Material cost?

$389

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $389 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$324 to $398
FacilityA hospital or hospital-owned outpatient department$389$295 to $389

How much rates vary

Facilitymedian $389 · 10th to 90th $269 to $417Professionalmedian $389 · 10th to 90th $200 to $417
$100$200$500$1Kfacility $389professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$354.81
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$446.68
Moda Health
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$389.05
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$389.05
Typical High
$416.87
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$416.87
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$398.11
Typical High
$407.38
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$354.81
Median
$398.11
Typical High
$398.11
Providence
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$295.12
Typical High
$436.52
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$269.15
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$199.53
Typical High
$1,023.29

Where Alaska 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.

Alaska· 10th of 51

$389

KS $501DE $195

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.