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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 October 2026.

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

$339

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $398 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$195 to $398
FacilityA hospital or hospital-owned outpatient department$398$363 to $407

How much rates vary

Facilitymedian $398 · 10th to 90th $269 to $457Professionalmedian $269 · 10th to 90th $186 to $457
$100$200$500$1Kfacility $398professional $269

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
Professional
Modifier
None
Typical Low
$223.87
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$851.14
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$354.81
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$371.54
Typical High
$416.87
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$407.38
Typical High
$416.87
Providence
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$269.15
Typical High
$416.87
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$194.98
Typical High
$398.11
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$645.65
Typical High
$1,548.82
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$812.83
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$186.21
Typical High
$363.08

Where Oregon 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.

Oregon· 14th of 51

$339

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.