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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 July 2026.

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

$295

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $513 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 6 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$275$240 to $380
FacilityA hospital or hospital-owned outpatient department$513$316 to $513

How much rates vary

Facilitymedian $513 · 10th to 90th $288 to $589Professionalmedian $275 · 10th to 90th $191 to $380
$200.0$500.0$1.0K$2.0Kfacility $513professional $275

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. 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
Global
Typical Low
$190.55
Median
$239.88
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$446.68
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
$288.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$457.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$263.03
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$371.54
Typical High
$380.19

Where Maine 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.

Maine $295 · 17th 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.