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Below Elbow or Wrist Disarticulation, Acrylic Material

Alaska rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Rates data updated July 2026.

How much does Below Elbow or Wrist Disarticulation, Acrylic Material cost?

$302

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $129 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 6 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$302$240 to $427
FacilityA hospital or hospital-owned outpatient department$129$129 to $417

How much rates vary

Facilitymedian $129 · 10th to 90th $129 to $447Professionalmedian $302 · 10th to 90th $214 to $537
$100.0$200.0$500.0$1.0Kfacility $129professional $302

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$269.15
Typical High
$446.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$1,412.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$426.58
Typical High
$446.68
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$446.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$288.40
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$954.99

Where Alaska sits

The same service costs 2.7 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $302 · 16th of 51
KS $525NE $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.