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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 October 2026.

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

$257

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $288 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$245 to $288
FacilityA hospital or hospital-owned outpatient department$288$269 to $417

How much rates vary

Facilitymedian $288 · 10th to 90th $245 to $708Professionalmedian $257 · 10th to 90th $195 to $562
$200$500$1Kfacility $288professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$177.83
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$257.04
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$25.12
Median
$25.12
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$186.21
Median
$186.21
Typical High
$331.13
CDPHP
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$676.08
Typical High
$1,479.11
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$416.87
Typical High
$724.44
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$288.40
Typical High
$338.84
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$602.56
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$245.47
Typical High
$281.84
Univera
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$288.40
Typical High
$288.40
Univera
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$288.40
Typical High
$338.84

Where New York sits

The same service costs 2.6 times more in Kansas than in Delaware. 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· 28th of 51

$257

KS $501DE $195

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.