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Above Elbow Disarticulation, Ultra-Light Material

South Carolina 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 $269 · 10th–90th $186$5130%20%10th90th$269Professionalmedian $204 · 10th–90th $178$3090%20%10th90th$204$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
$186.21
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$281.84