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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 October 2026.

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

$407

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $468 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$275 to $513
FacilityA hospital or hospital-owned outpatient department$468$407 to $603

How much rates vary

Facilitymedian $468 · 10th to 90th $282 to $1,950Professionalmedian $407 · 10th to 90th $204 to $550
$200$500$1K$2Kfacility $468professional $407

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$323.59
Typical High
$346.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$549.54
Typical High
$602.56
Hally Health
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$416.87
Typical High
$537.03
Medica
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$457.09
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$354.81
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$549.54
Typical High
$549.54
Midlands
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$1,174.90
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$208.93
Typical High
$363.08
Wellmark
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38

Where Iowa 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.

Iowa· 6th of 51

$407

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.