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Above Elbow Disarticulation, Ultra-Light Material

Maryland 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 $275 · 10th–90th $166$4170%20%40%10th90th$275Professionalmedian $214 · 10th–90th $178$3090%20%40%10th90th$214$200.0$500.0$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
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
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
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$251.19