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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.

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

$224

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $209 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 5 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$209$182 to $263
FacilityA hospital or hospital-owned outpatient department$363$191 to $537

How much rates vary

Facilitymedian $363 · 10th to 90th $120 to $794Professionalmedian $209 · 10th to 90th $170 to $437
$100$200$500$1K$2Kfacility $363professional $209

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
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

Where Arizona sits

The same service costs 2.8 times more in Kansas than in Nebraska. 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· 31st of 51

$224

KS $501NE $182

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.