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Below Elbow or Wrist Disarticulation, Acrylic Material

Minnesota 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?

$447

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $794 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$447$372 to $447
FacilityA hospital or hospital-owned outpatient department$794$447 to $1,698

How much rates vary

Facilitymedian $794 · 10th to 90th $380 to $3,631Professionalmedian $447 · 10th to 90th $316 to $513
$1.0$10.0$100.0$1.0Kfacility $794professional $447

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
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$660.69
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$3,630.78
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$446.68
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$263.03
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$616.60

Where Minnesota 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.

Minnesota $447 · 2nd 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.