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Below Elbow or Wrist Disarticulation, Acrylic Material

Illinois 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?

$347

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $339 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 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$339$219 to $347
FacilityA hospital or hospital-owned outpatient department$457$219 to $813

How much rates vary

Facilitymedian $457 · 10th to 90th $219 to $2,291Professionalmedian $339 · 10th to 90th $209 to $457
$200$500$1K$2K$5Kfacility $457professional $339

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
$218.78
Median
$218.78
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$489.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$660.69
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$380.19

Where Illinois 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.

Illinois· 13th of 51

$347

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.