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Below Elbow or Wrist Disarticulation, Acrylic Material

North Dakota rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Rates data updated October 2026.

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

$427

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $324 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$427$324 to $501
FacilityA hospital or hospital-owned outpatient department$324$324 to $372

How much rates vary

Facilitymedian $324 · 10th to 90th $288 to $813Professionalmedian $427 · 10th to 90th $200 to $513
$200$500$1K$2Kfacility $324professional $427

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$323.59
Typical High
$371.54
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$501.19
Typical High
$501.19
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$457.09
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$512.86
Typical High
$645.65
Medica
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$323.59
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$295.12
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$295.12
Typical High
$363.08

Where North Dakota sits

The same service costs 2.4 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 9th of 51

$427

KS $501DE $209

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.