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Above Elbow Disarticulation, Ultra-Light Material

Iowa 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 $347 · 10th–90th $257$1,0230%10%20%10th90th$347Professionalmedian $309 · 10th–90th $182$5250%10%20%10th90th$309$0.5$2.0$10.0$50.0$200.0$1.0K

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
$204.17
Median
$323.59
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$602.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$537.03
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$575.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$407.38