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Above Elbow Disarticulation, Ultra-Light Material

Maine 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?

$275

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $479 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 6 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$257$224 to $355
FacilityA hospital or hospital-owned outpatient department$479$295 to $479

How much rates vary

Facilitymedian $479 · 10th to 90th $269 to $550Professionalmedian $257 · 10th to 90th $178 to $355
$200$500$1Kfacility $479professional $257

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. 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
Global
Typical Low
$177.83
Median
$223.87
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$416.87
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
$269.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$426.58
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$346.74
Typical High
$354.81

Where Maine 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.

Maine· 16th of 51

$275

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.