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Above Elbow Disarticulation, Ultra-Light Material

North Carolina 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?

$309

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $331 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$309$214 to $316
FacilityA hospital or hospital-owned outpatient department$331$275 to $437

How much rates vary

Facilitymedian $331 · 10th to 90th $186 to $759Professionalmedian $309 · 10th to 90th $182 to $316
$1.0$10.0$100.0$1.0K$10.0Kfacility $331professional $309

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
$309.03
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$288.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$275.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$338.84
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$295.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$3,019.95

Where North Carolina 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.

North Carolina $309 · 13th 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.