go back

Below Elbow or Wrist Disarticulation, Acrylic Material

Hawaii 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?

$447

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $288 to $447.

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 $288 · 10th to 90th $263 to $347Professionalmedian $447 · 10th to 90th $158 to $447
$200.0$500.0facility $288professional $447

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
$158.49
Median
$158.49
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$549.54
HMSA
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$537.03

Where Hawaii 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.

Hawaii $447 · 4th 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.