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Above Elbow Disarticulation, Ultra-Light Material

New Jersey 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 $148 · 10th–90th $148$4170%50%90th$148Professionalmedian $204 · 10th–90th $158$4070%20%10th90th$204$200.0$500.0$1.0K

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
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$269.15
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$537.03
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$407.38