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Below Elbow or Wrist Disarticulation, Acrylic Material

Indiana 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?

$224

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $219 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 5 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$219$214 to $269
FacilityA hospital or hospital-owned outpatient department$457$295 to $457

How much rates vary

Facilitymedian $457 · 10th to 90th $214 to $513Professionalmedian $219 · 10th to 90th $195 to $363
$1.0$10.0$100.0$1.0Kfacility $457professional $219

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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$457.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$316.23

Where Indiana 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.

Indiana $224 · 41st 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.