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Above Elbow Disarticulation, Ultra-Light Material

Missouri 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?

$234

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $389 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$224$204 to $269
FacilityA hospital or hospital-owned outpatient department$389$269 to $1,445

How much rates vary

Facilitymedian $389 · 10th to 90th $204 to $1,950Professionalmedian $224 · 10th to 90th $191 to $380
$200$500$1K$2Kfacility $389professional $224

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
$186.21
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$275.42
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$251.19
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$165.96
Median
$186.21
Typical High
$288.40
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$416.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Medica
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$416.87
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$208.93
Typical High
$2,089.30
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$204.17
Typical High
$295.12
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
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$25.12
Median
$25.12
Typical High
$251.19

Where Missouri 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.

Missouri· 39th of 51

$234

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.