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Above Elbow Disarticulation, Ultra-Light Material

Massachusetts 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?

$347

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $363 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 8 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$347$195 to $355
FacilityA hospital or hospital-owned outpatient department$363$178 to $501

How much rates vary

Facilitymedian $363 · 10th to 90th $178 to $1,950Professionalmedian $347 · 10th to 90th $178 to $537
$1$10$100$1K$10Kfacility $363professional $347

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
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$562.34
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$1,949.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$489.78
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
$478.63
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$537.03
Health New England
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$1,949.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$363.08

Where Massachusetts sits

The same service costs 2.8 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 8th of 51

$347

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.