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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 October 2026.

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

$347

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $398 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$275 to $437
FacilityA hospital or hospital-owned outpatient department$398$339 to $513

How much rates vary

Facilitymedian $398 · 10th to 90th $269 to $661Professionalmedian $339 · 10th to 90th $186 to $513
$100$1K$10Kfacility $398professional $339

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
Professional
Modifier
None
Typical Low
$263.03
Median
$338.84
Typical High
$338.84
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$398.11
Typical High
$660.69
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$436.52
Typical High
$457.09
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$269.15
Median
$302.00
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$281.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Moda Health
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$338.84
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$371.54
Typical High
$436.52
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$295.12
Typical High
$346.74
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$512.86
Typical High
$24,547.09
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$512.86
Typical High
$28,840.32
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$398.11
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$436.52
Select Health
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$524.81
Select Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$416.87
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$186.21
Typical High
$281.84

Where Idaho 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.

Idaho· 13th of 51

$347

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.