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Above Elbow Disarticulation, Ultra-Light Material

Vermont 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 $245$2950%50%10th90th$269Professionalmedian $200 · 10th–90th $200$2820%20%40%90th$200$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$257.04
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
$269.15
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$281.84
Typical High
$812.83