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Below Elbow or Wrist Disarticulation, Acrylic Material

Kentucky rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Rates data updated October 2026.

How much does Below Elbow or Wrist Disarticulation, Acrylic Material cost?

$240

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $288 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$224 to $275
FacilityA hospital or hospital-owned outpatient department$288$234 to $457

How much rates vary

Facilitymedian $288 · 10th to 90th $229 to $617Professionalmedian $240 · 10th to 90th $209 to $339
$200$500$1K$2Kfacility $288professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$229.09
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$229.09
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$457.09
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$239.88
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
CareSource
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$398.11
Typical High
$645.65
CareSource
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$562.34
Typical High
$707.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$288.40
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$223.87
Typical High
$302.00

Where Kentucky sits

The same service costs 2.4 times more in Kansas than in Delaware. 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.

Kentucky· 44th of 51

$240

KS $501DE $209

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.