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Above Elbow Disarticulation, Ultra-Light Material

Hawaii 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?

$417

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $417 to $447.

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.

How much rates vary

Facilitymedian $324 · 10th to 90th $269 to $324Professionalmedian $417 · 10th to 90th $324 to $447
$200$500facility $324professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
HMSA
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$416.87
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$446.68
Typical High
$446.68
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$338.84
Typical High
$389.05

Where Hawaii 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.

Hawaii· 3rd of 51

$417

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.