go back

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 October 2026.

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

$263

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $575 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$204 to $407
FacilityA hospital or hospital-owned outpatient department$575$501 to $1,096

How much rates vary

Facilitymedian $575 · 10th to 90th $269 to $2,455Professionalmedian $219 · 10th to 90th $191 to $501
$200$500$1K$2K$5Kfacility $575professional $219

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
$204.17
Median
$204.17
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$338.84
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$691.83
Typical High
$2,884.03
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Hally Health
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$457.09
Typical High
$588.84
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$208.93
Typical High
$489.78

Where Illinois 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.

Illinois· 27th of 51

$263

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.