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Below Elbow or Wrist Disarticulation, Acrylic Material

Michigan 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?

$251

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $537 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 7 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$251$229 to $447
FacilityA hospital or hospital-owned outpatient department$537$263 to $1,175

How much rates vary

Facilitymedian $537 · 10th to 90th $251 to $1,778Professionalmedian $251 · 10th to 90th $209 to $447
$1.0$10.0$100.0$1.0Kfacility $537professional $251

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,348.96
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$467.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
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
$288.40
Typical High
$489.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$851.14
Typical High
$954.99
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$549.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$316.23

Where Michigan 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.

Michigan $251 · 28th 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.