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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.

Facilitymedian $427 · 10th–90th $195$5250%20%40%10th90th$427Professionalmedian $204 · 10th–90th $182$3390%20%10th90th$204$0.5$2.0$10.0$50.0$200.0$1.0K

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
$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