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Below Elbow or Wrist Disarticulation, Acrylic Material

Arizona 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?

$234

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $398 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 5 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$224$195 to $282
FacilityA hospital or hospital-owned outpatient department$398$204 to $575

How much rates vary

Facilitymedian $398 · 10th to 90th $129 to $851Professionalmedian $224 · 10th to 90th $182 to $468
$1.0$10.0$100.0$1.0Kfacility $398professional $224

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
$190.55
Median
$234.42
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$489.78
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$912.01
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
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$288.40
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$295.12

Where Arizona 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.

Arizona $234 · 35th 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.