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Below Elbow or Wrist Disarticulation, Acrylic Material

Maine 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?

$275

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $269 to $380.

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 $550 · 10th to 90th $427 to $1,047Professionalmedian $269 · 10th to 90th $204 to $380
$200$500$1Kfacility $550professional $269

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
Professional
Modifier
None
Typical Low
$223.87
Median
$295.12
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$549.54
Typical High
$1,047.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$26.92
Median
$26.92
Typical High
$29.51
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$199.53
Median
$199.53
Typical High
$218.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$380.19
Typical High
$501.19
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$218.78
Typical High
$602.56

Where Maine 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.

Maine· 30th of 51

$275

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.