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Below Elbow or Wrist Disarticulation, Acrylic Material

Massachusetts 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?

$372

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $389 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$372$209 to $380
FacilityA hospital or hospital-owned outpatient department$389$191 to $537

How much rates vary

Facilitymedian $389 · 10th to 90th $191 to $2,089Professionalmedian $372 · 10th to 90th $191 to $575
$1.0$10.0$100.0$1.0K$10.0Kfacility $389professional $372

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$602.56
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$2,089.30
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$354.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$512.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$575.44
Health New England
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$2,089.30
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$354.81
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$389.05

Where Massachusetts 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.

Massachusetts $372 · 9th 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.