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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.

Facilitymedian $427 · 10th–90th $204$2,1380%20%10th90th$427Professionalmedian $219 · 10th–90th $186$4570%20%40%10th90th$219$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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