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Above Elbow Disarticulation, Ultra-Light Material

Illinois 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?

$219

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $427 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 5 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$219$204 to $347
FacilityA hospital or hospital-owned outpatient department$427$204 to $759

How much rates vary

Facilitymedian $427 · 10th to 90th $204 to $2,138Professionalmedian $219 · 10th to 90th $186 to $457
$200$500$1K$2K$5Kfacility $427professional $219

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
$204.17
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$457.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$602.56
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$354.81

Where Illinois 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.

Illinois· 34th of 51

$219

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.