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Below Elbow or Wrist Disarticulation, Acrylic Material

Georgia 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?

$269

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $457 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 7 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$269$204 to $372
FacilityA hospital or hospital-owned outpatient department$457$275 to $550

How much rates vary

Facilitymedian $457 · 10th to 90th $186 to $1,660Professionalmedian $269 · 10th to 90th $186 to $437
$200$500$1Kfacility $457professional $269

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
Facility
Modifier
Global
Typical Low
$186.21
Median
$512.86
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,071.52
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$537.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
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
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$436.52

Where Georgia sits

The same service costs 2.7 times more in Kansas than in Nebraska. 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.

Georgia· 20th of 51

$269

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.