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Above Elbow Disarticulation, Ultra-Light Material

Rhode Island 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?

$214

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $741 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 4 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$214$182 to $240
FacilityA hospital or hospital-owned outpatient department$741$501 to $851

How much rates vary

Facilitymedian $741 · 10th to 90th $269 to $933Professionalmedian $214 · 10th to 90th $178 to $282
$200$500$1K$2Kfacility $741professional $214

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$354.81
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
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$281.84
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$338.84

Where Rhode Island 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.

Rhode Island· 38th of 51

$214

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.