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Above Elbow Disarticulation, Ultra-Light Material

Georgia 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 $427 · 10th–90th $174$1,5490%10%20%10th90th$427Professionalmedian $251 · 10th–90th $174$4070%20%10th90th$251$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,000.00
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$501.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
CareSource
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
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
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$407.38