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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 October 2026.

How much does Above Elbow Disarticulation, Ultra-Light Material cost?

$224

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $200 to $269.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $269 · 10th to 90th $269 to $269Professionalmedian $224 · 10th to 90th $191 to $288
$200$500facility $269professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$213.80
Typical High
$213.80
CareFirst
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$416.87
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$213.80
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87

Where Maryland sits

The same service costs 2.6 times more in Kansas than in Delaware. 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.

Maryland· 41st of 51

$224

KS $501DE $195

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.