go back

Above Elbow Disarticulation, Ultra-Light Material

North Dakota 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.

Facilitymedian $302 · 10th–90th $302$5130%50%90th$302Professionalmedian $389 · 10th–90th $224$5130%20%10th90th$389$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$489.78