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Below Elbow or Wrist Disarticulation, Acrylic Material

Kansas 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?

$525

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $372 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$525$282 to $525
FacilityA hospital or hospital-owned outpatient department$372$302 to $501

How much rates vary

Facilitymedian $372 · 10th to 90th $129 to $537Professionalmedian $525 · 10th to 90th $200 to $525
$1.0$10.0$100.0$1.0Kfacility $372professional $525

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
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$512.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$309.03
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$316.23

Where Kansas 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.

Kansas $525 · 1st 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.