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Above Elbow Disarticulation, Ultra-Light Material

Arizona 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?

$224

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $437 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$182 to $355
FacilityA hospital or hospital-owned outpatient department$437$263 to $741

How much rates vary

Facilitymedian $437 · 10th to 90th $120 to $1,950Professionalmedian $195 · 10th to 90th $174 to $2,089
$100$200$500$1K$2Kfacility $437professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$489.78
Typical High
$741.31
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$354.81
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Medica
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$426.58
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$263.03
Typical High
$2,089.30
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$186.21
Typical High
$275.42

Where Arizona 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.

Arizona· 42nd of 51

$224

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.