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Above Elbow Disarticulation, Ultra-Light Material

Michigan 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?

$316

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $741 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$234 to $417
FacilityA hospital or hospital-owned outpatient department$741$269 to $1,288

How much rates vary

Facilitymedian $741 · 10th to 90th $269 to $1,820Professionalmedian $302 · 10th to 90th $200 to $427
$200$500$1K$2Kfacility $741professional $302

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$416.87
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$1,230.27
Typical High
$2,290.87
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$416.87
Typical High
$416.87
CareSource
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
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
$269.15
Typical High
$457.09
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$812.83
Typical High
$870.96
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$331.13
Typical High
$426.58
Priority Health
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Priority Health
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$269.15
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$501.19
Typical High
$602.56
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$199.53
Typical High
$281.84
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Michigan
Setting
Professional
Modifier
RR · Rental
Typical Low
$416.87
Median
$416.87
Typical High
$416.87

Where Michigan 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.

Michigan· 17th of 51

$316

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.