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Above Elbow Disarticulation, Ultra-Light Material

New York 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?

$251

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $288 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 9 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$251$204 to $288
FacilityA hospital or hospital-owned outpatient department$288$245 to $417

How much rates vary

Facilitymedian $288 · 10th to 90th $178 to $617Professionalmedian $251 · 10th to 90th $178 to $589
$200$1K$5K$20Kfacility $288professional $251

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
$147.91
Median
$199.53
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$257.04
Typical High
$660.69
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$338.84
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$288.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$436.52
Typical High
$776.25
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$302.00
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$288.40
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$269.15
Typical High
$660.69
Univera
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$302.00
Univera
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$288.40

Where New York 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 York· 22nd of 51

$251

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.