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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.

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

$251

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $427 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 6 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$251$191 to $347
FacilityA hospital or hospital-owned outpatient department$427$174 to $676

How much rates vary

Facilitymedian $427 · 10th to 90th $174 to $1,549Professionalmedian $251 · 10th to 90th $174 to $407
$200$500$1Kfacility $427professional $251

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
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

Where Georgia 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.

Georgia· 20th of 51

$251

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.