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Above Elbow Disarticulation, Ultra-Light Material

Virginia 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 $417 · 10th–90th $214$5250%20%40%10th90th$417Professionalmedian $224 · 10th–90th $186$3980%20%40%10th90th$224$0.5$2.0$10.0$50.0$200.0$1.0K$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
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$524.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
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
$416.87
Typical High
$575.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$275.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$269.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$309.03