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Above Elbow Disarticulation, Ultra-Light Material

Colorado 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?

$209

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $269 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$195 to $302
FacilityA hospital or hospital-owned outpatient department$269$209 to $447

How much rates vary

Facilitymedian $269 · 10th to 90th $120 to $832Professionalmedian $209 · 10th to 90th $174 to $550
$200$500$1Kfacility $269professional $209

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
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$446.68
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$251.19
Typical High
$549.54
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
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$234.42
Typical High
$501.19
Denver HMP
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$549.54
Typical High
$851.14
Select Health
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$794.33
Typical High
$891.25
Select Health
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$426.58
Typical High
$602.56
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$186.21
Typical High
$281.84
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$25.12
Median
$251.19
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$186.21
Median
$186.21
Typical High
$186.21

Where Colorado 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.

Colorado· 47th of 51

$209

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.