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Above Elbow Disarticulation, Ultra-Light Material

Montana 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?

$347

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $407 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 5 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$339$219 to $407
FacilityA hospital or hospital-owned outpatient department$407$324 to $437

How much rates vary

Facilitymedian $407 · 10th to 90th $269 to $513Professionalmedian $339 · 10th to 90th $120 to $794
$100$200$500$1Kfacility $407professional $339

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
Professional
Modifier
Global
Typical Low
$120.23
Median
$338.84
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$436.52
Typical High
$436.52
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$794.33
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$794.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$331.13
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$281.84

Where Montana 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.

Montana· 10th of 51

$347

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.