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Below Elbow or Wrist Disarticulation, Acrylic Material

Idaho 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?

$363

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $417 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 8 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$324$240 to $417
FacilityA hospital or hospital-owned outpatient department$417$331 to $447

How much rates vary

Facilitymedian $417 · 10th to 90th $275 to $537Professionalmedian $324 · 10th to 90th $200 to $490
$1.0$10.0$100.0$1.0Kfacility $417professional $324

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
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$398.11
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$371.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$426.58
Typical High
$426.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$489.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$660.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.32
Median
$295.12
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$302.00

Where Idaho 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.

Idaho $363 · 10th 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.