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Below Elbow or Wrist Disarticulation, Acrylic Material

Maryland 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 Maryland, October 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $214 to $288.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $288 · 10th to 90th $288 to $288Professionalmedian $240 · 10th to 90th $204 to $324
$200$500facility $288professional $240

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$218.78
Typical High
$229.09
CareFirst
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$446.68
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$229.09
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$380.19

Where Maryland 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.

Maryland· 41st 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.