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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 July 2026.

Facilitymedian $417 · 10th–90th $263$8320%20%10th90th$417Professionalmedian $182 · 10th–90th $158$3090%20%40%10th90th$182$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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$181.97
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$407.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,096.48
Midlands
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,023.29
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$323.59