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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 October 2026.

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

$240

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $468 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$195 to $380
FacilityA hospital or hospital-owned outpatient department$468$282 to $794

How much rates vary

Facilitymedian $468 · 10th to 90th $129 to $2,089Professionalmedian $209 · 10th to 90th $191 to $2,239
$200$500$1K$2Kfacility $468professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$524.81
Typical High
$794.33
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$380.19
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Medica
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$457.09
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$281.84
Typical High
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$199.53
Typical High
$295.12

Where Arizona sits

The same service costs 2.4 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.

Arizona· 42nd of 51

$240

KS $501DE $209

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.