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Below Elbow or Wrist Disarticulation, Acrylic Material

Washington, DC 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?

$263

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $219 to $288.

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.

How much rates vary

Facilitymedian $229 · 10th to 90th $229 to $316Professionalmedian $263 · 10th to 90th $195 to $347
$200$500facility $229professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$229.09
Typical High
$269.15
CareFirst
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$380.19
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$269.15
Typical High
$380.19

Where Washington, DC 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.

Washington, DC· 38th of 51

$263

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.