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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.

How much does Above Elbow Disarticulation, Ultra-Light Material cost?

$229

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $282 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$195 to $316
FacilityA hospital or hospital-owned outpatient department$282$204 to $339

How much rates vary

Facilitymedian $282 · 10th to 90th $120 to $427Professionalmedian $229 · 10th to 90th $182 to $513
$200$500$1Kfacility $282professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where New Mexico sits

The same service costs 2.8 times more in Kansas than in Nebraska. 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.

New Mexico· 29th of 51

$229

KS $501NE $182

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.