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Above Elbow Disarticulation, Ultra-Light Material

Nebraska 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?

$282

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $468 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$204 to $457
FacilityA hospital or hospital-owned outpatient department$468$447 to $468

How much rates vary

Facilitymedian $468 · 10th to 90th $269 to $1,950Professionalmedian $275 · 10th to 90th $162 to $562
$200$500$1K$2Kfacility $468professional $275

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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$263.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$478.63
Typical High
$870.96
Medica
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$446.68
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$204.17
Typical High
$323.59
Midlands
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$870.96
Midlands
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$870.96
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$204.17
Typical High
$281.84

Where Nebraska 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.

Nebraska· 20th of 51

$282

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.