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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 July 2026.

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

$229

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $204 to $245.

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.

How much rates vary

Facilitymedian $295 · 10th to 90th $178 to $447Professionalmedian $229 · 10th to 90th $191 to $331
$200.0$500.0$1.0Kfacility $295professional $229

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
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$331.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$302.00
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
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$380.19

Where Maryland 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.

Maryland $229 · 37th 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.