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Below Elbow or Wrist Disarticulation, Acrylic Material

Montana 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?

$372

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $437 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$363$234 to $437
FacilityA hospital or hospital-owned outpatient department$437$347 to $468

How much rates vary

Facilitymedian $437 · 10th to 90th $288 to $550Professionalmedian $363 · 10th to 90th $129 to $851
$100.0$200.0$500.0$1.0Kfacility $437professional $363

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
Professional
Modifier
Global
Typical Low
$128.82
Median
$363.08
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$467.74
Typical High
$467.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$851.14
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$416.87
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$354.81
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$302.00

Where Montana 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.

Montana $372 · 8th 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.