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Below Elbow or Wrist Disarticulation, Acrylic Material

Connecticut 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?

$209

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $302 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$209$191 to $269
FacilityA hospital or hospital-owned outpatient department$302$288 to $447

How much rates vary

Facilitymedian $302 · 10th to 90th $263 to $447Professionalmedian $209 · 10th to 90th $191 to $417
$200.0$500.0$1.0Kfacility $302professional $209

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
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$489.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$363.08

Where Connecticut 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.

Connecticut $209 · 49th 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.