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Above Elbow Disarticulation, Ultra-Light Material

Minnesota 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?

$417

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $417 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$302 to $479
FacilityA hospital or hospital-owned outpatient department$417$347 to $955

How much rates vary

Facilitymedian $417 · 10th to 90th $347 to $1,950Professionalmedian $380 · 10th to 90th $186 to $617
$200$500$1K$2Kfacility $417professional $380

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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$346.74
Typical High
$346.74
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$416.87
Typical High
$630.96
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$1,412.54
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$512.86
Typical High
$616.60
Health Partners
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,445.44
Typical High
$3,388.44
Health Partners
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Medica
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$416.87
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$275.42
Typical High
$2,089.30
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$501.19
Typical High
$602.56
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$218.78
Typical High
$371.54

Where Minnesota 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.

Minnesota· 5th of 51

$417

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.