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Above Elbow Disarticulation, Ultra-Light Material

Tennessee 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?

$224

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $195 to $316.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $269 · 10th to 90th $269 to $282Professionalmedian $214 · 10th to 90th $178 to $2,138
$200$500$1K$2Kfacility $269professional $214

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
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$181.97
Typical High
$213.80
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$281.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$199.53
Typical High
$275.42

Where Tennessee 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.

Tennessee· 44th of 51

$224

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.