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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.

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

$309

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $347 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 7 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$309$204 to $363
FacilityA hospital or hospital-owned outpatient department$347$302 to $589

How much rates vary

Facilitymedian $347 · 10th to 90th $257 to $1,023Professionalmedian $309 · 10th to 90th $182 to $525
$200$500$1Kfacility $347professional $309

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
$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

Where Iowa 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.

Iowa· 14th of 51

$309

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.