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Above Elbow Disarticulation, Ultra-Light Material

New Mexico 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 $282 · 10th–90th $120$4270%10%10th90th$282Professionalmedian $229 · 10th–90th $182$5130%20%10th90th$229$100.0$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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$630.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$281.84
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$281.84
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$281.84