go back

Below Elbow or Wrist Disarticulation, Acrylic Material

Missouri 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?

$269

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $372 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$269$224 to $324
FacilityA hospital or hospital-owned outpatient department$372$302 to $447

How much rates vary

Facilitymedian $372 · 10th to 90th $214 to $851Professionalmedian $269 · 10th to 90th $204 to $537
$1.0$10.0$100.0$1.0Kfacility $372professional $269

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
$204.17
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$416.87
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
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$338.84

Where Missouri 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.

Missouri $269 · 21st 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.