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Above Elbow Disarticulation, Ultra-Light Material

Louisiana 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 $339 · 10th–90th $240$7410%20%10th90th$339Professionalmedian $229 · 10th–90th $174$3470%20%10th90th$229$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
$239.88
Median
$239.88
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$281.84