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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 October 2026.

How much does Above Elbow Disarticulation, Ultra-Light Material cost?

$200

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $195 to $295.

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.

How much rates vary

Facilitymedian $269 · 10th to 90th $269 to $295Professionalmedian $200 · 10th to 90th $195 to $339
$200$500$1Kfacility $269professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$199.53
Median
$199.53
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$302.00
Typical High
$812.83

Where Vermont 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.

Vermont· 49th of 51

$200

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.