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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 July 2026.

Facilitymedian $363 · 10th–90th $120$7940%10%10th90th$363Professionalmedian $209 · 10th–90th $170$4370%20%10th90th$209$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$457.09
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$269.15
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$275.42