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Above Elbow Disarticulation, Ultra-Light Material

Idaho 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?

$339

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $389 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 8 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$302$224 to $389
FacilityA hospital or hospital-owned outpatient department$389$309 to $417

How much rates vary

Facilitymedian $389 · 10th to 90th $257 to $513Professionalmedian $302 · 10th to 90th $186 to $457
$1.0$10.0$100.0$1.0Kfacility $389professional $302

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
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$371.54
Typical High
$436.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$346.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$398.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$616.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$275.42
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$281.84

Where Idaho sits

The same service costs 2.8 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $339 · 11th of 51
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.