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Above Elbow Disarticulation, Ultra-Light Material

Indiana 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?

$209

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 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$204$195 to $251
FacilityA hospital or hospital-owned outpatient department$427$269 to $427

How much rates vary

Facilitymedian $427 · 10th to 90th $195 to $525Professionalmedian $204 · 10th to 90th $182 to $339
$1.0$10.0$100.0$1.0Kfacility $427professional $204

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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$281.84
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$295.12

Where Indiana 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.

Indiana $209 · 40th 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.