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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 July 2026.

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

$234

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $501 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 7 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$234$214 to $417
FacilityA hospital or hospital-owned outpatient department$501$245 to $1,096

How much rates vary

Facilitymedian $501 · 10th to 90th $234 to $1,660Professionalmedian $234 · 10th to 90th $195 to $417
$10$100$1Kfacility $501professional $234

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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,258.93
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
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
$269.15
Typical High
$457.09
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$794.33
Typical High
$870.96
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$501.19
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$295.12

Where Michigan 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.

Michigan· 27th of 51

$234

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.