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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 July 2026.

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

$251

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $347 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$251$209 to $302
FacilityA hospital or hospital-owned outpatient department$347$275 to $417

How much rates vary

Facilitymedian $347 · 10th to 90th $200 to $776Professionalmedian $251 · 10th to 90th $186 to $501
$1.0$10.0$100.0$1.0Kfacility $347professional $251

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
$186.21
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$389.05
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
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$316.23

Where Missouri sits

The same service costs 2.8 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $251 · 21st of 51
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.