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Above Elbow Disarticulation, Ultra-Light Material

Kansas 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 $347 · 10th–90th $120$6310%10%20%10th90th$347Professionalmedian $501 · 10th–90th $186$5010%50%10th$501$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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$346.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$288.40
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$295.12