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Above Elbow Disarticulation, Ultra-Light Material

West 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.

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

$200

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $200 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$200 to $214
FacilityA hospital or hospital-owned outpatient department$200$200 to $245

How much rates vary

Facilitymedian $200 · 10th to 90th $200 to $427Professionalmedian $214 · 10th to 90th $200 to $275
$200$500$1K$2Kfacility $200professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$213.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$562.34
CareSource
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$338.84

Where West Virginia sits

The same service costs 2.8 times more in Kansas than in Nebraska. 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.

West Virginia· 46th of 51

$200

KS $501NE $182

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.