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Above Elbow Disarticulation, Ultra-Light Material

Oklahoma 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 $214 · 10th–90th $178$5010%20%10th90th$214Professionalmedian $204 · 10th–90th $155$3630%20%10th90th$204$100.0$200.0$500.0$1.0K$2.0K

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
$177.83
Median
$177.83
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$363.08
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
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$338.84
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$275.42