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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 July 2026.

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

$417

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $269 to $417.

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.

How much rates vary

Facilitymedian $269 · 10th to 90th $245 to $324Professionalmedian $417 · 10th to 90th $148 to $417
$200$500facility $269professional $417

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. 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
Global
Typical Low
$147.91
Median
$147.91
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$512.86
HMSA
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$501.19

Where Hawaii 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.

Hawaii· 3rd of 51

$417

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.