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Above Elbow Disarticulation, Ultra-Light Material

Oregon 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 $398 · 10th–90th $302$4170%50%10th90th$398Professionalmedian $302 · 10th–90th $182$4570%10%10th90th$302$0.5$5.0$50.0$500.0$5.0K

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
Professional
Modifier
Global
Typical Low
$181.97
Median
$223.87
Typical High
$346.74
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
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$812.83
Typical High
$1,000.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$436.52
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$478.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$354.81
Typical High
$426.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$1,584.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$251.19
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$354.81